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General NPI Number Information
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NPI Number | 1790303428
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Entity Type | Organization
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Legal Business Name | OZIMS PRIMARY HEALTH CENTER
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 625 UNION ST
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City | LINDEN
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State | NJ
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Zip | 07036-2554
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Country | US
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Telephone | 201-878-6442
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Fax |
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Provider Business Mailing Address
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Address Line | 625 UNION ST
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City | LINDEN
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State | NJ
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Zip | 07036-2554
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Country | US
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Telephone | 201-878-6442
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | IKENNA MADUFOR OZIMS
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Credential | MD
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Telephone | 201-878-6442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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