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General NPI Number Information
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NPI Number | 1770556847
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Entity Type | Individual
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Provider Name | OBIOMA IRO-NWOKEUKWU M.D..
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Gender | Female
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 6613 CHEW AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2002
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Country | US
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Telephone | 215-848-1166
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Fax | 215-842-0224
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Provider Business Mailing Address
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Address Line | 6613 CHEW AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2002
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Country | US
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Telephone | 215-848-1166
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Fax | 215-842-0224
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD063864L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD063864L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MD063864L
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License Number State | PA
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