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General NPI Number Information
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NPI Number | 1831397728
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Entity Type | Individual
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Provider Name | FELIX UZIMWONYI IGBINOSA M.D
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Gender | Male
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13910 EMERALD LN
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City | GARDENA
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State | CA
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Zip | 90247-2497
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Country | US
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Telephone | 310-503-4723
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 61032
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City | LOS ANGELES
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State | CA
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Zip | 90061-0032
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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 |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A84124
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License Number State | CA
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