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General NPI Number Information
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NPI Number | 1992171797
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Entity Type | Individual
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Provider Name | AZUBUIKE CHUKWUDI EKWUEME DPT
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Gender | Male
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Dates
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Enumeration Date | 08/15/2015
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1404 LAWRENCEVILLE SUWANEE RD STE 101
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-4336
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Country | US
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Telephone | 470-392-1116
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Fax |
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Provider Business Mailing Address
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Address Line | 8823 PRODUCTION LN
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City | OOLTEWAH
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State | TN
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Zip | 37363-6511
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Country | US
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Telephone | 423-238-7217
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Fax | 423-238-3473
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 09583R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP029522T
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License Number State | GA
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