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General NPI Number Information
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NPI Number | 1992142806
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Entity Type | Individual
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Provider Name | NKEMAKONAM EGOLUM DDS
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Gender | Male
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 10700 MEDLOCK BRIDGE RD STE 204
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City | JOHNS CREEK
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State | GA
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Zip | 30097-8455
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Country | US
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Telephone | 770-764-0840
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Fax | 770-764-0870
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Provider Business Mailing Address
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Address Line | 10700 MEDLOCK BRIDGE RD STE 204
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City | JOHNS CREEK
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State | GA
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Zip | 30097-8455
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Country | US
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Telephone | 770-764-0840
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Fax | 770-764-0870
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN122975
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License Number State | GA
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