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General NPI Number Information
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NPI Number | 1184220824
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Entity Type | Individual
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Provider Name | IJEOMA CHRISTIANA UGWU
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Gender | Female
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 14900 JONES MALTSBERGER RD
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City | SAN ANTONIO
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State | TX
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Zip | 78247-3919
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Country | US
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Telephone | 210-496-9545
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Fax |
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Provider Business Mailing Address
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Address Line | 21307 PLAZA DE CADIZ
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1657
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Country | US
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Telephone | 210-797-6149
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 56075
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License Number State | TX
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