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General NPI Number Information
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NPI Number | 1336947902
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Entity Type | Individual
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Provider Name | YVONNE OTATADE UMEH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 800 ZORN AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-1433
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Country | US
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Telephone | 616-724-6567
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Fax |
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Provider Business Mailing Address
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Address Line | 5220 ROCK BLUFF DR
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City | LOUISVILLE
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State | KY
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Zip | 40241-1447
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Country | US
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Telephone | 616-724-6567
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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 | 1835C0206X
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Taxonomy Name | Cardiology Pharmacist
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License Number | 016527
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 016527
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License Number State | KY
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