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General NPI Number Information
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NPI Number | 1922010479
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Entity Type | Organization
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Legal Business Name | LYDIA O. NJAMFA, MD.PA
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 708 W SPRING VALLEY RD
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City | RICHARDSON
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State | TX
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Zip | 75080-7216
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Country | US
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Telephone | 214-570-9400
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Fax | 972-792-7246
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Provider Business Mailing Address
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Address Line | 708 W SPRING VALLEY RD
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City | RICHARDSON
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State | TX
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Zip | 75080-7216
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Country | US
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Telephone | 214-570-9400
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Fax | 972-792-7246
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LYDIA OLUWATOYIN NJAMFA
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Credential | M.D.
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Telephone | 214-570-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L0884
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License Number State | TX
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