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General NPI Number Information
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NPI Number | 1841895760
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Entity Type | Individual
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Provider Name | NWABUEZE OKEIYI
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Gender | Male
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 116 SPRINGWOOD CT
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City | MACON
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State | GA
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Zip | 31210-8031
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Country | US
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Telephone | 478-361-5347
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Fax |
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Provider Business Mailing Address
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Address Line | 1390 PIO NONO AVE
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City | MACON
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State | GA
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Zip | 31204-4635
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Country | US
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Telephone | 478-742-5281
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 022930
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License Number State | GA
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