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General NPI Number Information
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NPI Number | 1821179243
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Entity Type | Individual
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Provider Name | CORDELIA NKOLIKA UDDOH MD
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 3212 W CHELTENHAM AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19150-1003
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Country | US
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Telephone | 215-657-5044
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Fax | 215-657-5046
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Provider Business Mailing Address
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Address Line | P.O. BOX 539 608 EASTON ROAD SUITE C
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City | WILLOW GROVE
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State | PA
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Zip | 19090-0539
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Country | US
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Telephone | 215-657-5044
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Fax | 215-657-5046
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD069007L
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License Number State | PA
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