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Individual
DR. OCTAVIA AMAECHI
Active
Individual
DR. OCTAVIA AMAECHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33941
SC
207Q00000X
Family Medicine Physician
LL33941
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339413
—
SC
01
—
SC40913365
MEDICARE PIN
SC
01
—
SC40915019
MEDICARE PIN
SC
01
—
SC40916067
MEDICARE PIN
SC
01
—
SC40919068
MEDICARE PIN
SC
Enumeration date
07/15/2011
Last updated
11/17/2020
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