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General NPI Number Information
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NPI Number | 1851916670
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Entity Type | Individual
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Provider Name | ONYINYECHI CHIDOMERE MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 10 UNION SQ E STE 5P
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City | NEW YORK
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State | NY
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Zip | 10003-3314
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Country | US
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Telephone | 212-241-6321
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Fax |
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Provider Business Mailing Address
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Address Line | VCUHS GMEA BOX 980257 RICHMOND, VA 23298-0257
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City | RICHMOND
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State | VA
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Zip | 23298-0509
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Country | US
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Telephone | 804-828-9783
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 330311
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License Number State | NY
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