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NPI 1003940339

NPI 1003940339 : UMEZ PODIATRY, P.A. : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1003940339
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    Entity Type          |    Organization 
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    Legal Business Name  |    UMEZ PODIATRY, P.A. 
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Dates
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    Enumeration Date     |    03/16/2007
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    Last Update Date     |    10/02/2020
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Provider Practice Location Address
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    Address Line         |    1800 N CHARLES ST STE 208 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21201-5907
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    Country              |    US
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    Telephone            |    410-539-4282
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    Fax                  |    833-908-2252
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Provider Business Mailing Address
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    Address Line         |    1800 N CHARLES ST STE 208 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21201-5907
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    Country              |    US
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    Telephone            |    410-539-4282
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    Fax                  |    833-908-2252
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Authorized Official
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    Title or Position    |    PODIATRIST
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    Name                 |    DR. YVONNE U UMEZURIKE 
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    Credential           |    DPM
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    Telephone            |    410-698-3866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    00672
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    License Number State |    MD
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