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General NPI Number Information
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NPI Number | 1114336260
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Entity Type | Individual
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Provider Name | CHRIS OKWUOSA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2014
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 18310 US HIGHWAY 18
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2206
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Country | US
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Telephone | 760-998-2312
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Fax | 760-242-3371
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Provider Business Mailing Address
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Address Line | 11755 MALAGA DR UNIT 1109
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8126
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Country | US
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Telephone | 310-850-6804
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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 | 7296
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License Number State | NE
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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 | S9046
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License Number State | TX
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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 | A170738
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License Number State | CA
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