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General NPI Number Information
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NPI Number | 1043063019
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Entity Type | Individual
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Provider Name | CHIGOZIE EDNAH OBICHUKU LPC
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Gender | Female
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 11100 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77031-3602
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Country | US
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Telephone | 346-219-0434
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Fax |
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Provider Business Mailing Address
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Address Line | 12325 SHADOW CREEK PKWY APT 113
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City | PEARLAND
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State | TX
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Zip | 77584-7373
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Country | US
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Telephone | 830-339-2498
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 86943
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License Number State | TX
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