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General NPI Number Information
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NPI Number | 1851602593
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Entity Type | Individual
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Provider Name | EBONI CHRISTINA JANUARY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 50 LEROY ST
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City | POTSDAM
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State | NY
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Zip | 13676-1799
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Country | US
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Telephone | 315-265-3300
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Fax | 315-261-6410
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Provider Business Mailing Address
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Address Line | 910 MORRISON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63104-3537
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Country | US
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Telephone | 573-268-4830
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | T9136
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 3551-320
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 73007
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0099074
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 91849
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 64605
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License Number State | CT
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Taxonomy #7
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME143577
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD210001911
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License Number State | DC
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Taxonomy #9
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036150150
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C184151
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2023-00015
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License Number State | NC
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Taxonomy #12
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101280447
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License Number State | VA
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Taxonomy #13
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2014012421
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License Number State | MO
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Taxonomy #14
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 300032
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License Number State | NY
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