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General NPI Number Information
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NPI Number | 1639348832
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Entity Type | Individual
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Provider Name | VICTOR ESSIEN UKO M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2508 BERT KOUNS INDUSTRIAL LOOP STE 101
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City | SHREVEPORT
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State | LA
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Zip | 71118-3175
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Country | US
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Telephone | 318-212-5811
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Fax | 318-212-5844
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-4903
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Country | US
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Telephone | 570-271-6144
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 59958
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | C2724
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 59958
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 344688
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License Number State | LA
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | MD482581
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License Number State | PA
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