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General NPI Number Information
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NPI Number | 1417157397
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Entity Type | Individual
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Provider Name | UGOCHUKWU E AKOMA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 543 GUMA YUOS LN
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City | TAMUNING
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State | GU
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Zip | 96913
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Country | US
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Telephone | 671-588-2873
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Fax | 855-540-2437
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Provider Business Mailing Address
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Address Line | 543 GUMA YUOS LN
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City | TAMUNING
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State | GU
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Zip | 96913
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Country | US
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Telephone | 671-588-2873
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Fax | 855-540-2437
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40961
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M-2055
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License Number State | GU
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