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General NPI Number Information
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NPI Number | 1871967901
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Entity Type | Individual
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Provider Name | NGOZI EZINNE INWELEGBU
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Gender | Female
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 133-25 87TH STREET 2B
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City | OZONE PARK
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State | NY
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Zip | 11417
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Country | US
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Telephone | 646-474-9490
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Fax |
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Provider Business Mailing Address
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Address Line | 13325 87TH ST APT 2B
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City | OZONE PARK
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State | NY
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Zip | 11417-1950
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Country | US
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Telephone | 646-474-9490
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 323661-1
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License Number State | NY
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