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General NPI Number Information
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NPI Number | 1104116169
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Entity Type | Individual
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Provider Name | JOHN CHIMA NWANKWO MD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 6700 W IH 10
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City | SAN ANTONIO
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State | TX
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Zip | 78201-2009
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Country | US
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Telephone | 210-736-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 WALT WHITMAN RD STE 300
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City | MELVILLE
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State | NY
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Zip | 11747-4300
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Country | US
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Telephone | 860-918-3125
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | U5302
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License Number State | TX
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