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General NPI Number Information
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NPI Number | 1891403606
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Entity Type | Organization
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Legal Business Name | ONYX ELITE, LLC
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 2101 MAYWILL STREET
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City | RICHMOND
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State | VA
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Zip | 23230
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Country | US
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Telephone | 864-269-7696
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Fax |
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Provider Business Mailing Address
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Address Line | 11410 STRAND DRIVE UNIT 8
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City | NORTH BETHESDA
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State | MD
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Zip | 20852
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OGUCHI ONYEWU
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Credential |
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Telephone | 240-483-3451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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