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General NPI Number Information
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NPI Number | 1265607725
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Entity Type | Individual
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Provider Name | CHUKWUMA I EGWIM MD. MBBS
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Gender | Male
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 6410 FANNIN ST STE 225
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City | HOUSTON
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State | TX
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Zip | 77030-3002
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Country | US
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Telephone | 713-799-8300
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Fax | 713-799-8305
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Provider Business Mailing Address
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Address Line | 6410 FANNIN ST STE 225
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City | HOUSTON
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State | TX
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Zip | 77030-3002
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Country | US
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Telephone | 713-799-8300
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Fax | 713-799-8305
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | M9993
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License Number State | TX
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