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General NPI Number Information
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NPI Number | 1801152558
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Entity Type | Organization
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Legal Business Name | HEALTHWISE MEDICAL ASSOCIATES PC
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 401 E 34TH ST STE SOUTH 35SD
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City | NEW YORK
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State | NY
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Zip | 10016-4914
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Country | US
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Telephone | 212-686-5782
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Fax | 212-685-1933
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Provider Business Mailing Address
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Address Line | 401 E 34TH ST STE SOUTH 35SD
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City | NEW YORK
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State | NY
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Zip | 10016-4914
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Country | US
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Telephone | 212-686-5782
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Fax | 212-685-1933
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOMINIC ONYEMA
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Credential | MD
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Telephone | 212-686-5782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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