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General NPI Number Information
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NPI Number | 1902896335
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Entity Type | Individual
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Provider Name | NGOZIKA U DAKA DMD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 4155 FERNCREEK DR SUITE 101
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2581
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Country | US
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Telephone | 910-323-8899
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Fax | 910-486-6524
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Provider Business Mailing Address
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Address Line | 4155 FERNCREEK DR SUITE 101
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2581
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Country | US
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Telephone | 910-323-8899
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Fax | 910-486-6524
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 052085
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License Number State | NY
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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 | 8550
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License Number State | NC
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