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General NPI Number Information
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NPI Number | 1366642399
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Entity Type | Organization
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Legal Business Name | UCHECHI T OPAIGBEOGU MD
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 6188 OXON HILL RD SUITE 701
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City | OXON HILL
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State | MD
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Zip | 20745-3113
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Country | US
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Telephone | 301-686-0067
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Fax | 301-686-0479
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Provider Business Mailing Address
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Address Line | 6188 OXON HILL RD SUITE 701
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City | OXON HILL
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State | MD
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Zip | 20745-3113
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Country | US
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Telephone | 301-686-0067
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Fax | 301-686-0479
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. UCHECHI T OPAIGBEOGU
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Credential | M.D.
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Telephone | 301-686-0067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0037066
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License Number State | MD
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