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General NPI Number Information
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NPI Number | 1336018167
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Entity Type | Organization
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Legal Business Name | AZUBUIKE FAMILY MEDICINE CLINIC, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 300 N EUCLID AVE STE B-1
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City | UPLAND
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State | CA
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Zip | 91786-8322
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Country | US
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Telephone | 909-217-5427
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Fax | 213-410-5188
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Provider Business Mailing Address
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Address Line | 300 N EUCLID AVE STE B-1
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City | UPLAND
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State | CA
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Zip | 91786-8322
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Country | US
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Telephone | 909-217-5427
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Fax | 213-410-5188
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AKACHI C AZUBUIKE
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Credential | MD
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Telephone | 909-217-5427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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