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General NPI Number Information
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NPI Number | 1093254492
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Entity Type | Individual
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Provider Name | CHINYERE NGOZI ANYANWU
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Gender | Female
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 12/23/2019
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Provider Practice Location Address
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Address Line | 21315 BELLA LUNA CT
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City | SPRING
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State | TX
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Zip | 77379-5660
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Country | US
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Telephone | 904-881-5438
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Fax |
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Provider Business Mailing Address
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Address Line | 10218 LEWIS LN
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City | IOWA COLONY
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State | TX
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Zip | 77583-5535
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Country | US
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Telephone | 904-881-5438
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP133261
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License Number State | TX
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