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General NPI Number Information
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NPI Number | 1891112140
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Entity Type | Individual
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Provider Name | EMMANUEL ACHU M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 128 VISION PARK BLVD STE 130
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City | SHENANDOAH
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State | TX
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Zip | 77384-3021
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Country | US
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Telephone | 936-900-6398
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Fax | 888-720-0826
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Provider Business Mailing Address
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Address Line | 128 VISION PARK BLVD STE 130
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City | SHENANDOAH
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State | TX
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Zip | 77384-3021
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Country | US
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Telephone | 936-900-6398
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Fax | 888-720-0826
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 294810
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T1624
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License Number State | TX
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