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General NPI Number Information
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NPI Number | 1285338293
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Entity Type | Individual
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Provider Name | BARON UZOCHUKWU MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 2211 NE 139TH ST
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City | VANCOUVER
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State | WA
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Zip | 98686-2742
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Country | US
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Telephone | 360-397-1985
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Fax | 360-604-1604
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Provider Business Mailing Address
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Address Line | 2210 NW 27TH ST
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City | CORVALLIS
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State | OR
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Zip | 97330-1262
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Country | US
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Telephone | 408-691-1392
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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