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General NPI Number Information
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NPI Number | 1639296130
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Entity Type | Individual
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Provider Name | BERNARD CHUKWUNEKE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 374 STOCKHOLM STREET
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City | BROOKLYN
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State | NY
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Zip | 11237
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Country | US
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Telephone | 718-963-7207
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Fax |
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Provider Business Mailing Address
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Address Line | 403 GALLYA GROVE
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City | MORGANVILLE
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State | NJ
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Zip | 07751-4444
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Country | US
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Telephone | 732-526-7010
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 193701
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License Number State | NY
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