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NPI 1295350973

NPI 1295350973 : NELSON I NWUMEH MD : LITTLE ROCK, AR

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General NPI Number Information
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    NPI Number           |    1295350973
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    Entity Type          |    Individual 
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    Provider Name        |    NELSON I NWUMEH MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/09/2020
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    Last Update Date     |    07/22/2025
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Provider Practice Location Address
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    Address Line         |    4301 W MARKHAM ST # 556 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72205-7101
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    Country              |    US
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    Telephone            |    501-526-7300
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    Fax                  |    501-526-6789
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Provider Business Mailing Address
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    Address Line         |    4301 W MARKHAM ST # 783 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72205-7199
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    Country              |    US
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    Telephone            |    501-686-8000
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    Fax                  |    501-526-5148
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    8300-851
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    72768
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    E-19615
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    License Number State |    AR
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