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General NPI Number Information
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NPI Number | 1093520082
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Entity Type | Individual
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Provider Name | CHIENYEZUO R ANABA
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Gender | Male
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Dates
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Enumeration Date | 02/08/2025
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 6301 IVY LN STE 700
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City | GREENBELT
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State | MD
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Zip | 20770-6330
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Country | US
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Telephone | 410-881-7522
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Fax | 443-276-4258
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Provider Business Mailing Address
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Address Line | 1015 15TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20005-2605
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Country | US
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Telephone | 347-963-6960
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP1047163
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R230479
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License Number State | MD
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