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General NPI Number Information
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NPI Number | 1891006912
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Entity Type | Organization
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Legal Business Name | JOHN N UGWU
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 702 E PHILLIPS ST
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City | CONROE
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State | TX
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Zip | 77301-3055
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Country | US
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Telephone | 832-359-9555
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Fax | 281-752-9444
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Provider Business Mailing Address
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Address Line | PO BOX 422036
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City | HOUSTON
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State | TX
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Zip | 77242-4236
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Country | US
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Telephone | 832-259-9555
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Fax | 281-752-9444
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Authorized Official
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Title or Position | CEO
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Name | JOHN N UGWU
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Credential |
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Telephone | 832-359-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1000356
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License Number State | TX
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