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General NPI Number Information
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NPI Number | 1225410525
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Entity Type | Individual
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Provider Name | UGONMA IGWE CHUKWUMA FNP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 1232 N MAIN ST
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City | HIGH POINT
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State | NC
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Zip | 27262-3118
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Country | US
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Telephone | 336-884-1475
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Fax | 336-884-1482
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Provider Business Mailing Address
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Address Line | 4445 KENDALE RD
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City | HIGH POINT
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State | NC
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Zip | 27265-9113
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Country | US
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Telephone | 336-688-4545
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Fax | 336-884-1482
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5007213
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License Number State | NC
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