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General NPI Number Information
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NPI Number | 1679991822
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Entity Type | Individual
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Provider Name | UCHENNA EKWONYE RN
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Gender | Male
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 5310 OLD COURT RD STE 105
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5281
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Country | US
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Telephone | 443-687-2527
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Fax |
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Provider Business Mailing Address
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Address Line | 5310 OLD COURT RD STE 105
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5281
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Country | US
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Telephone | 443-687-2527
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | A00127050
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R181213
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LP44931
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License Number State | MD
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