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General NPI Number Information
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NPI Number | 1164972584
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Entity Type | Individual
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Provider Name | CHIKA NDUKWE DNP, FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 548 THROGGS NECK EXPY
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City | BRONX
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State | NY
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Zip | 10465-1717
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Country | US
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Telephone | 800-632-7969
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Fax |
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Provider Business Mailing Address
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Address Line | 12038 BROWNWOOD DR
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City | FRISCO
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State | TX
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Zip | 75035-8860
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Country | US
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Telephone | 972-897-8659
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP132048
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 403710
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License Number State | NY
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