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General NPI Number Information
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NPI Number | 1770226037
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Entity Type | Individual
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Provider Name | GLADYS CHIGOZIRIM JOSHUA-NWOKEJI MD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3710 S WESTERN AVE
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City | MARION
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State | IN
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Zip | 46953-4827
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Country | US
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Telephone | 765-664-7492
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Fax |
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Provider Business Mailing Address
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Address Line | 3907 JOSHUA DR
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City | MARION
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State | IN
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Zip | 46953-2197
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Country | US
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Telephone | 814-881-4161
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01097278A
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License Number State | IN
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