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General NPI Number Information
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NPI Number | 1619264017
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Entity Type | Individual
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Provider Name | CHIDI OGBONNA D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 16 E 48TH ST 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10017-1017
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Country | US
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Telephone | 917-388-3778
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Fax | 646-219-4689
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Provider Business Mailing Address
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Address Line | 45 W 132ND ST 5T
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City | NEW YORK
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State | NY
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Zip | 10037
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Country | US
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Telephone | 917-388-3778
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Fax | 646-219-4689
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N006412
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License Number State | NY
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