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General NPI Number Information
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NPI Number | 1730716358
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Entity Type | Individual
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Provider Name | NGOZI ALOZIE ERONDU DDS
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Gender | Male
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 72780 COUNTRY CLUB DR STE 106
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4149
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Country | US
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Telephone | 760-837-1515
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Fax | 760-837-1011
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Provider Business Mailing Address
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Address Line | 72955 AMBER ST
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City | PALM DESERT
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State | CA
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Zip | 92260-5947
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Country | US
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Telephone | 732-299-9014
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Fax |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 108664
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License Number State | CA
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