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General NPI Number Information
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NPI Number | 1932498003
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Entity Type | Individual
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Provider Name | JOSEPHINE NJIDEKA EJIOFOR
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Gender | Female
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 142 BROAD ST
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City | ELYRIA
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State | OH
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Zip | 44035-5591
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Country | US
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Telephone | 440-322-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 3017 GREATMOOR ST
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City | COLUMBUS
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State | OH
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Zip | 43219-7379
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Country | US
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Telephone | 614-313-8453
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03230687
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License Number State | OH
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