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General NPI Number Information
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NPI Number | 1972904621
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Entity Type | Individual
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Provider Name | LILLIAN NJOKU M.D
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Gender | Female
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 129 GLOVER AVE
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City | NORWALK
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State | CT
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Zip | 06850-1345
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Country | US
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Telephone | 203-536-7058
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Fax |
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Provider Business Mailing Address
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Address Line | 129 GLOVER AVE
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City | NORWALK
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State | CT
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Zip | 06850-1345
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Country | US
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Telephone | 203-536-7058
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 045936
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 45936
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License Number State | CT
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