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General NPI Number Information
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NPI Number | 1023906757
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Entity Type | Organization
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Legal Business Name | CHIOMA NDALLA
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 629 E WOOD ST STE 205
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City | VINELAND
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State | NJ
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Zip | 08360-3752
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Country | US
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Telephone | 856-839-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 DOCK ST
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City | MILLVILLE
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State | NJ
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Zip | 08332-2838
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Country | US
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Telephone | 856-265-7459
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR ANALYST
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Name | CHIOMA NDALLA
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Credential |
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Telephone | 856-265-7459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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