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General NPI Number Information
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NPI Number | 1780354605
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Entity Type | Individual
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Provider Name | EDNA AGBONYINMA AKORA-MOFUNANYA NP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1180 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43205-1902
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Country | US
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Telephone | 614-645-5535
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Fax | 614-645-5546
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Provider Business Mailing Address
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Address Line | 3433 AGLER RD STE 2800
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City | COLUMBUS
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State | OH
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Zip | 43219-3389
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Country | US
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Telephone | 614-859-1906
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Fax | 614-645-5517
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0029695
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License Number State | OH
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