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General NPI Number Information
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NPI Number | 1760687339
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Entity Type | Individual
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Provider Name | OYERE K. ONUMA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 235 NORTH PEARL ST
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City | BROCKTON
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State | MA
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Zip | 02301
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Country | US
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Telephone | 508-427-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 20 ACADEMY ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-6929
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Country | US
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Telephone | 617-447-5945
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 64153
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L-232492
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License Number State | MA
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