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General NPI Number Information
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NPI Number | 1154219061
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Entity Type | Organization
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Legal Business Name | AMARII
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 110 E GREENHILL LN STE 104
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City | FATE
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State | TX
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Zip | 75087-3006
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Country | US
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Telephone | 214-717-0269
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Fax |
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Provider Business Mailing Address
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Address Line | 5103 MAGNA CARTA BLVD STE 150
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-5234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CHINWEM IBEKWE-NWONUMAH
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Credential |
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Telephone | 214-717-0269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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