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General NPI Number Information
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NPI Number | 1750396321
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Entity Type | Individual
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Provider Name | AGAEZI ODOCHI SONYA DC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 25499 MARVIN GARDENS WAY
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City | MURRIETA
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State | CA
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Zip | 92563-5420
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Country | US
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Telephone | 951-226-1846
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Fax | 951-226-1728
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Provider Business Mailing Address
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Address Line | 23811 WASHINGTON AVE STE C110-259
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City | MURRIETA
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State | CA
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Zip | 92562-2275
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Country | US
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Telephone | 951-387-4629
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Fax | 951-387-4659
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC29166
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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