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General NPI Number Information
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NPI Number | 1790241172
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Entity Type | Organization
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Legal Business Name | CHUKWUOCHA MD INC
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 5189 HOSPITAL RD
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City | MARIPOSA
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State | CA
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Zip | 95338-9524
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Country | US
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Telephone | 201-447-4447
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Fax |
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Provider Business Mailing Address
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Address Line | 8535 N JACKSON AVE
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City | FRESNO
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State | CA
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Zip | 93720-1975
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | UZOR CHUKWUOCHA
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Credential | MD
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Telephone | 510-599-5002
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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 |
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License Number State |
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