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General NPI Number Information
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NPI Number | 1336447978
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Entity Type | Individual
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Provider Name | EMMANUEL NDUBUEZE
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Gender | Male
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 5210 OAKLAWN BLVD
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City | HOPEWELL
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State | VA
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Zip | 23860-7336
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Country | US
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Telephone | 804-458-8688
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Fax | 804-458-1803
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Provider Business Mailing Address
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Address Line | 14467 WOODLEIGH DR
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City | CHESTER
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State | VA
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Zip | 23831-6574
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Country | US
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Telephone | 804-796-1034
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Fax | 804-318-1870
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202009523
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License Number State | VA
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