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General NPI Number Information
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NPI Number | 1861646366
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Entity Type | Organization
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Legal Business Name | ICU INC
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 02/16/2015
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Provider Practice Location Address
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Address Line | 5500 SINCLAIR LN SUITE C
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City | BALTIMORE
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State | MD
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Zip | 21206-4605
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Country | US
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Telephone | 443-453-9963
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Fax | 443-453-9965
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Provider Business Mailing Address
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Address Line | 5500 SINCLAIR LN SUITE C
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City | BALTIMORE
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State | MD
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Zip | 21206-4605
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Country | US
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Telephone | 443-453-9963
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Fax | 443-453-9965
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | UCHECHUKWU IGWILO
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Credential | BACHELOR OF PHA
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Telephone | 410-804-8227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P04838
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License Number State | MD
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