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General NPI Number Information
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NPI Number | 1871635243
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Entity Type | Individual
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Provider Name | JOHN AZUBIKE UYANNE MD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8110 AIRPORT BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90045
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Country | US
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Telephone | 562-706-2612
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Fax | 562-802-7978
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Provider Business Mailing Address
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Address Line | PO BOX 985 ARTESIA CA 90702
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City | ARTESIA
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State | CA
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Zip | 90702
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Country | US
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Telephone | 562-706-2612
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Fax | 562-802-7979
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A70516
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 9217
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License Number State | NV
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