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General NPI Number Information
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NPI Number | 1124057260
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Entity Type | Individual
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Provider Name | NDUBUISI C ACHUFUSI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 7501 GREENWAY CENTER DR STE 540
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City | GREENBELT
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State | MD
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Zip | 20770-3594
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Country | US
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Telephone | 301-637-4842
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Fax | 301-313-0596
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Provider Business Mailing Address
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Address Line | 7501 GREENWAY CENTER DR STE 540
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City | GREENBELT
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State | MD
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Zip | 20770-3594
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Country | US
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Telephone | 301-637-4842
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Fax | 301-313-0596
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D46591
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License Number State | MD
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