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General NPI Number Information
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NPI Number | 1891386959
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Entity Type | Individual
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Provider Name | UCHEUMA OBUA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 5 GARRETT AVE
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City | LA PLATA
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State | MD
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Zip | 20646-5960
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Country | US
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Telephone | 443-865-1511
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 PALMER RD APT 8
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-4686
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Country | US
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Telephone | 443-865-1511
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH233825
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 22086
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License Number State | MD
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