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General NPI Number Information
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NPI Number | 1598215287
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Entity Type | Individual
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Provider Name | BEVERLY UCHE UWEH
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Gender | Female
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 12750 JEFFERSON AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4318
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Country | US
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Telephone | 757-833-0339
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Fax |
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Provider Business Mailing Address
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Address Line | 670 DOWNEY GREEN ST APT 311
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City | HAMPTON
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State | VA
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Zip | 23666-2283
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Country | US
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Telephone | 909-270-7145
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202215376
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License Number State | VA
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