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General NPI Number Information
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NPI Number | 1417453135
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Entity Type | Individual
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Provider Name | CHRISTOPHER UZOCHUKWU ESONU MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 1133 EAGLES LANDING PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5085
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Country | US
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Telephone | 678-604-5901
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1360
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City | POOLER
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State | GA
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Zip | 31322-1276
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Country | US
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Telephone | 240-441-6878
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 92759
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License Number State | GA
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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 | 92759
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License Number State | GA
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