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General NPI Number Information
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NPI Number | 1982312542
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Entity Type | Organization
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Legal Business Name | NNEAMAKA NWUBAH LLC
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Dates
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Enumeration Date | 11/11/2022
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 5409 MARYLAND WAY STE 115
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City | BRENTWOOD
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State | TN
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Zip | 37027-1076
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Country | US
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Telephone | 615-804-6113
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Fax |
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Provider Business Mailing Address
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Address Line | 424 CHURCH ST STE 2000
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City | NASHVILLE
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State | TN
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Zip | 37219-3304
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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 | MD
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Name | DR. NNEAMAKA AGOCHUKWU NWUBAH
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Credential | MD
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Telephone | 504-813-9655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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