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General NPI Number Information
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NPI Number | 1043732555
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Entity Type | Individual
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Provider Name | CHINYERE OBIAKWATA NP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 201 PRUITT RD APT 430
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City | SPRING
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State | TX
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Zip | 77380
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Country | US
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Telephone | 973-640-0074
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Fax |
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Provider Business Mailing Address
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Address Line | 201 PRUITT RD APT 430
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City | SPRING
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State | TX
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Zip | 77380-3167
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Country | US
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Telephone | 973-640-0074
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ00740100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP137635
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License Number State | TX
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