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General NPI Number Information
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NPI Number | 1053504589
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Entity Type | Individual
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Provider Name | FELIX CHUKWUEMEKA NWOKOLO MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 537 DOUGLAS AVE STE 15
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City | DUNEDIN
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State | FL
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Zip | 34698-7605
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Country | US
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Telephone | 727-666-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 2874 ALLAPATTAH DR
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City | CLEARWATER
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State | FL
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Zip | 33761-1801
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Country | US
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Telephone | 727-743-7539
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME 99125
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 243784
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | ME99125
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License Number State | FL
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