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General NPI Number Information
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NPI Number | 1992152094
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Entity Type | Individual
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Provider Name | ODUCHE R IGBOECHI M.D., M.P.H., M.B.A.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 2501 N ORANGE AVE STE 514
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City | ORLANDO
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State | FL
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Zip | 32804-4674
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Country | US
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Telephone | 407-303-5687
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 N ORANGE AVE STE 514
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City | ORLANDO
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State | FL
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Zip | 32804-4674
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Country | US
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Telephone | 407-303-5687
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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 | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | D0094550
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME163657
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME163657
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License Number State | FL
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