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General NPI Number Information
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NPI Number | 1922311257
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Entity Type | Individual
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Provider Name | JACINTHA NWAODAKU OBI
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Gender | Female
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 07/15/2010
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Provider Practice Location Address
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Address Line | 4215 MONTICELLO AVE BRONX NEW YORK
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City | BRONX
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State | NY
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Zip | 10466-2111
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Country | US
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Telephone | 718-231-9695
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Fax |
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Provider Business Mailing Address
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Address Line | 4215 MONTICELLO AVE BRONX
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City | BRONX
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State | NY
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Zip | 10466-2111
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Country | US
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Telephone | 718-231-9695
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 607009-1
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License Number State | NY
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