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General NPI Number Information
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NPI Number | 1972558146
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Entity Type | Individual
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Provider Name | EZE DAVID UCHE MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 801 E DIXIE AVE SUITE 107
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City | LEESBURG
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State | FL
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Zip | 34748-7699
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Country | US
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Telephone | 352-315-0627
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Fax | 352-315-1012
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Provider Business Mailing Address
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Address Line | 308 W HIGHLAND BLVD
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City | INVERNESS
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State | FL
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Zip | 34452-4716
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Country | US
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Telephone | 352-726-8353
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Fax | 352-341-6885
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME73420
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License Number State | FL
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