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General NPI Number Information
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NPI Number | 1659503837
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Entity Type | Individual
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Provider Name | EKE KALU M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 8001 STATE RD HOC-MOD 2
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City | PHILADELPHIA
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State | PA
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Zip | 19136-2908
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Country | US
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Telephone | 215-335-5020
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Fax | 215-335-7027
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Provider Business Mailing Address
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Address Line | PO BOX 533115
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City | INDIANAPOLIS
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State | IN
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Zip | 46253-3115
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Country | US
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Telephone | 317-508-5858
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD427888
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License Number State | PA
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