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General NPI Number Information
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NPI Number | 1659970127
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Entity Type | Individual
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Provider Name | CHUKWUMA CHIEDU ONUMONU RPH
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Gender | Male
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Dates
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Enumeration Date | 10/25/2020
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Last Update Date | 10/25/2020
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Provider Practice Location Address
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Address Line | 914 FAIR OAKS AVE
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-3308
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Country | US
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Telephone | 626-441-3702
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Fax |
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Provider Business Mailing Address
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Address Line | 10987 DEER CANYON DR
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-2487
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Country | US
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Telephone | 909-532-0660
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 83393
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License Number State | CA
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