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General NPI Number Information
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NPI Number | 1710148556
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Entity Type | Individual
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Provider Name | YVONNE UMEZURIKE D.P.M
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Gender | Female
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 301 SAINT PAUL PL SUITE 420
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City | BALTIMORE
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State | MD
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Zip | 21202-2102
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Country | US
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Telephone | 410-539-4281
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Fax |
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Provider Business Mailing Address
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Address Line | 301 SAINT PAUL PL SUITE 420
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City | BALTIMORE
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State | MD
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Zip | 21202-2102
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Country | US
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Telephone | 410-539-4282
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Fax | 410-539-4281
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC006072
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 01502
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License Number State | MD
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