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General NPI Number Information
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NPI Number | 1164596862
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Entity Type | Organization
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Legal Business Name | CECILIA A NWANKWO M D F A A P P C
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | 17 FIRSTFIELD RD SUITE 200
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1774
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Country | US
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Telephone | 301-330-4243
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Fax | 301-963-9114
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Provider Business Mailing Address
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Address Line | 17 FIRSTFIELD RD SUITE 200
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1774
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Country | US
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Telephone | 301-330-4243
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Fax | 301-963-9114
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | CECILIA ADAOBI NWANKWO
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Credential | M.D
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Telephone | 301-330-4243
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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 | D0037545
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License Number State | MD
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