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1629332820 NPI number — CHIOMA N ODUKWE ENU D.P.M

NPI Number: 1629332820
Health Care Provider/Practitioner: CHIOMA N ODUKWE ENU D.P.M

Information about “1629332820” NPI (CHIOMA N ODUKWE ENU D.P.M) exists in 1629332820 in HTML format HTML  |  1629332820 in plain Text format TXT  |  1629332820 in PDF (Portable Document Format) PDF  |  1629332820 in an XML format XML  formats.

NPI Number : 1629332820 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629332820",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ODUKWE ENU",
    "FirstName": "CHIOMA",
    "MiddleName": "N",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.P.M",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ODUKWE",
    "OtherFirstName": "CHIOMA",
    "OtherMiddleName": "N",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPM",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "83 WASHINGTON AVENUE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH HAVEN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06473",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-787-3800",
    "MailingAddressFaxNumber": "203-787-0004",
    "FirstLinePracticeLocationAddress": "83 WASHINGTON AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH HAVEN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06473",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-787-3800",
    "PracticeLocationAddressFaxNumber": "203-787-0004",
    "EnumerationDate": "07/02/2012",
    "LastUpdateDate": "10/12/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "213ES0103X",
          "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
          "LicenseNumber": "000932",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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