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General NPI Number Information
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NPI Number | 1285089250
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Entity Type | Individual
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Provider Name | UGOCHUKWU AGHAZU
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Gender | Male
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Dates
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Enumeration Date | 04/27/2016
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 600 S. 3RD STREET
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City | GADSDEN
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State | AL
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Zip | 35901-5306
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Country | US
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Telephone | 256-438-5107
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Fax |
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Provider Business Mailing Address
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Address Line | 625 19TH STREET SOUTH
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City | BIRMINGHAM
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State | AL
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Zip | 35249
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38502
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License Number State | AL
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