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General NPI Number Information
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NPI Number | 1063464113
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Entity Type | Individual
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Provider Name | SUNDAY C UCHELLA MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 14904 JEFFERSON DAVIS HWY. #402
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3311
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Country | US
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Telephone | 703-499-8999
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Fax | 703-499-8996
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Provider Business Mailing Address
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Address Line | 6832 CREEK CREST WAY
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City | SPRINGFIELD
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State | VA
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Zip | 22150-4608
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Country | US
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Telephone | 703-499-8999
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Fax | 703-499-8996
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101052828
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101052828
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D47415
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License Number State | MD
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