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General NPI Number Information
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NPI Number | 1013989417
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Entity Type | Individual
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Provider Name | CHRISTIAN UGWU MD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 1001 HART BLVD STE 100
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City | MONTICELLO
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State | MN
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Zip | 55362-8929
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Country | US
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Telephone | 763-295-2921
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 HIGHWAY 25 N
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City | BUFFALO
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State | MN
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Zip | 55313-1930
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Country | US
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Telephone | 763-682-1313
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Fax | 763-581-9090
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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 | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 47128
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 47128
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License Number State | MN
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