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General NPI Number Information
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NPI Number | 1609339902
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Entity Type | Individual
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Provider Name | FREDRICK MACHI OGUGUA MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1100 ALLIED DR
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City | PLANO
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State | TX
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Zip | 75093-5348
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Country | US
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Telephone | 214-820-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE. SUITE 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1718
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Country | US
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Telephone | 847-570-2040
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Fax | 847-733-5315
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.159261
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036.159261
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License Number State | IL
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Taxonomy #3
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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 |
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License Number State |
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