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General NPI Number Information
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NPI Number | 1255473625
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Entity Type | Individual
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Provider Name | HILARY CHUKWUDINMA NWOSU M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 5850 S MAIN ST
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City | LOS ANGELES
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State | CA
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Zip | 90003-1215
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Country | US
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Telephone | 323-846-4312
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Fax |
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Provider Business Mailing Address
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Address Line | 5757 S STAPLES ST APT. # 4109
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-3732
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Country | US
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Telephone | 361-723-0492
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036150585
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | A84336
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.207300
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License Number State | LA
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