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General NPI Number Information
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NPI Number | 1164835443
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Entity Type | Individual
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Provider Name | HARRISON OBINNA CHINE M.D
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Gender | Male
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1100 NW 95TH ST
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City | MIAMI
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State | FL
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Zip | 33150-2038
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Country | US
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Telephone | 305-835-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 92 SW 3RD ST APT 4110
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City | MIAMI
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State | FL
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Zip | 33130-3379
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Country | US
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Telephone | 971-570-2463
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME131402
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License Number State | FL
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