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General NPI Number Information
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NPI Number | 1992332365
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Entity Type | Individual
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Provider Name | AMBLESSED ONYEMA MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 653-1 W 8TH ST FL 4
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6511
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Country | US
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Telephone | 904-244-3140
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Fax |
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Provider Business Mailing Address
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Address Line | 653-1 W 8TH ST FL 4
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6511
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD-52001
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD210012039
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036165196
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01091962A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME163829
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License Number State | FL
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