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General NPI Number Information
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NPI Number | 1811032253
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Entity Type | Organization
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Legal Business Name | UCHENNA UZOUKWU, MD LLC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 121 PROGRESS AVE FL 2
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City | POTTSVILLE
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State | PA
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Zip | 17901-2968
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Country | US
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Telephone | 570-621-5015
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Fax | 570-621-5858
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Provider Business Mailing Address
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Address Line | PO BOX 561
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City | POTTSVILLE
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State | PA
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Zip | 17901-0561
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Country | US
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Telephone | 570-621-5015
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Fax | 570-621-9888
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. UCHENNA UZOUKWU
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Credential | M.D.
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Telephone | 570-621-5015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD059079L
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License Number State | PA
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