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General NPI Number Information
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NPI Number | 1720711179
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Entity Type | Individual
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Provider Name | CHIDOZIE C UZOR PA
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Gender | Male
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 9301 WILSHIRE BLVD STE 404
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-6137
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Country | US
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Telephone | 310-278-9171
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Fax |
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Provider Business Mailing Address
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Address Line | 501 W OLYMPIC BLVD APT 905
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City | LOS ANGELES
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State | CA
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Zip | 90015-1451
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Country | US
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Telephone | 619-591-6969
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 61171
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License Number State | CA
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