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General NPI Number Information
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NPI Number | 1871584656
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Entity Type | Individual
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Provider Name | CHUMA G OSUJI DO
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 6351 W LAKE RD
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City | ERIE
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State | PA
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Zip | 16505-2676
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Country | US
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Telephone | 814-838-9191
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Fax |
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Provider Business Mailing Address
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Address Line | 2752 CARLETON CT
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City | ERIE
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State | PA
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Zip | 16506-1356
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Country | US
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Telephone | 813-732-5505
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Fax | 813-878-2224
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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 | OS8399
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | OS010091L
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License Number State | PA
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