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General NPI Number Information
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NPI Number | 1457056723
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Entity Type | Individual
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Provider Name | UGOCHUKWU DARLINGTON ENYINNAH PRESIDENT
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Gender | Male
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 1036 MCBRIDE STREET
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691
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Country | US
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Telephone | 347-606-5481
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Fax |
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Provider Business Mailing Address
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Address Line | 1036 MCBRIDE STREET
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691
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Country | US
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Telephone | 347-606-5481
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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