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General NPI Number Information
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NPI Number | 1881879716
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Entity Type | Individual
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Provider Name | TOBENNA IGWEONU NWIZU M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 7501 LAKEVIEW PKWY STE 100
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City | ROWLETT
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State | TX
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Zip | 75088-9330
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Country | US
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Telephone | 972-412-2577
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Fax | 972-412-0398
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-0813
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036120500
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 099327
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | Q6352
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License Number State | TX
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