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General NPI Number Information
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NPI Number | 1730486093
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Entity Type | Individual
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Provider Name | MRS. UZOAMAKA CONNIE OBIEKWE
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Gender | Female
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 4391 ACWORTH DALLAS RD NW STE 200
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City | ACWORTH
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State | GA
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Zip | 30101-4335
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Country | US
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Telephone | 770-370-2235
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Fax | 770-370-2236
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Provider Business Mailing Address
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Address Line | 4486 COBB PARKWAY NORTH
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City | ACWORTH
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State | GA
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Zip | 30101-4262
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Country | US
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Telephone | 678-574-7044
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Fax | 678-574-6319
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH018396
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License Number State | GA
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