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General NPI Number Information
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NPI Number | 1629481833
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Entity Type | Organization
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Legal Business Name | OSHUNFEME UHURU
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 2020 PALM AVE
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City | PITTSBURGH
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State | PA
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Zip | 15235-1549
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Country | US
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Telephone | 412-377-5419
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 PALM AVE
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City | PITTSBURGH
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State | PA
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Zip | 15235-1549
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Country | US
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Telephone | 412-377-5419
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | MS. OSHUNFEME IMANI UHURU
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Credential |
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Telephone | 412-377-5419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | PN105961L
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License Number State | PA
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