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General NPI Number Information
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NPI Number | 1114213782
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Entity Type | Individual
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Provider Name | CHINYERE IFEOMA OARHE M.D
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Gender | Female
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 1215 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-1811
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Country | US
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Telephone | 347-331-8837
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Fax |
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Provider Business Mailing Address
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Address Line | 2322 KNOB HILL DR UNIT 05-18
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City | OKEMOS
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State | MI
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Zip | 48864-3527
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Country | US
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Telephone | 347-331-8837
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301098758
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License Number State | MI
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