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General NPI Number Information
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NPI Number | 1245556901
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Entity Type | Individual
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Provider Name | CHARLES ESENWA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 3316 ROCHAMBEAU AVE FL 4
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City | BRONX
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State | NY
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Zip | 10467-2841
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Country | US
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Telephone | 718-920-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 5618 FIELDSTON RD
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City | BRONX
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State | NY
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Zip | 10471-2507
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Country | US
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Telephone | 718-775-5729
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 273252
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License Number State | NY
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