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General NPI Number Information
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NPI Number | 1891983532
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Entity Type | Individual
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Provider Name | OKEOMA NNEKA UMEOZULU
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Gender | Female
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 1827 TEXOMA PKWY STE 100
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City | SHERMAN
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State | TX
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Zip | 75090-2906
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Country | US
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Telephone | 443-629-3613
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Fax |
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Provider Business Mailing Address
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Address Line | 932 FALCON DR
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City | ALLEN
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State | TX
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Zip | 75013-4884
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Country | US
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Telephone | 443-629-3613
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Fax | 903-893-9877
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14193
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 24918
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License Number State | TX
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