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General NPI Number Information
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NPI Number | 1023212982
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Entity Type | Individual
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Provider Name | CHIDI JUDE UKATU M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 910 W 5TH AVE STE 801
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City | SPOKANE
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State | WA
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Zip | 99204-2974
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Country | US
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Telephone | 509-755-5120
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Fax | 509-755-6580
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Provider Business Mailing Address
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Address Line | PO BOX 5299 MS: 820-5-PCO
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City | TACOMA
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State | WA
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Zip | 98415-0299
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Country | US
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Telephone | 253-459-8231
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD189196
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A101948
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD60855728
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License Number State | WA
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