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General NPI Number Information
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NPI Number | 1700634870
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Entity Type | Individual
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Provider Name | UGOCHI CHIZUOROM ABAZIE M.D
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Gender | Female
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Dates
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Enumeration Date | 05/13/2024
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 11 UPPER RIVERDALE ROAD SW
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City | RIVERDALE
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State | GA
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Zip | 30274
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Country | US
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Telephone | 770-991-8026
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Fax | 773-257-6027
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Provider Business Mailing Address
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Address Line | 11 UPPER RIVERDALE ROAD SW
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City | RIVERDALE
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State | GA
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Zip | 30274
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Country | US
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Telephone | 770-991-8026
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Fax | 773-257-6027
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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 | 125083174
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License Number State | IL
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Taxonomy #2
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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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