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General NPI Number Information
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NPI Number | 1003007295
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Entity Type | Individual
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Provider Name | OBINNA C. UZOWULU M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 22250 BULVERDE RD SUITE 111
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City | SAN ANTONIO
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State | TX
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Zip | 78261-3084
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Country | US
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Telephone | 210-899-4490
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Fax | 210-592-8195
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Provider Business Mailing Address
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Address Line | PO BOX 592228
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City | SAN ANTONIO
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State | TX
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Zip | 78259-0161
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Country | US
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Telephone | 210-899-4490
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Fax | 210-592-8195
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N9144
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License Number State | TX
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