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General NPI Number Information
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NPI Number | 1992214589
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Entity Type | Organization
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Legal Business Name | URADU MEDICAL SERVICES
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 802 CLARE AVE STE 102
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2583
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Country | US
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Telephone | 740-414-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 802 CLARE AVE STE 102
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2583
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Country | US
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Telephone | 740-414-0111
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ROSE ONYINYECHI URADU
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Credential | MD
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Telephone | 740-414-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 35.088677
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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