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General NPI Number Information
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NPI Number | 1538542071
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Entity Type | Individual
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Provider Name | EMEM USORO MD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 83 COLUMBIA ST
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 321-843-3220
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Fax | 321-843-3210
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Provider Business Mailing Address
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Address Line | 10200 SIX PINES DRIVE APT 327
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City | THE WOODLANDS
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State | TX
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Zip | 77380
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Country | US
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Telephone | 952-393-3645
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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 | R6928
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TRN 21718
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License Number State | FL
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