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General NPI Number Information
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NPI Number | 1952589335
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Entity Type | Organization
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Legal Business Name | CHUKS J. ONWU SURGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 3771 NESCONSET HWY SUITE 103
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City | SOUTH SETAUKET
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State | NY
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Zip | 11720-1163
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Country | US
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Telephone | 631-689-5384
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Fax | 631-689-5396
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Provider Business Mailing Address
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Address Line | PO BOX 3396
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City | PATCHOGUE
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State | NY
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Zip | 11772-0019
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Country | US
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Telephone | 631-689-5384
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Fax | 631-689-5396
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. CHUKS J ONWU
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Credential | M.D.
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Telephone | 631-689-5384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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