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General NPI Number Information
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NPI Number | 1225378847
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Entity Type | Individual
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Provider Name | OLUCHI BARBARA CHUKWURAH
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Gender | Female
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Dates
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Enumeration Date | 02/19/2013
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 11212 STATE HIGHWAY 151
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4498
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Country | US
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Telephone | 210-703-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 11585 ALAMO RANCH PKWY APT 16303
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City | SAN ANTONIO
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State | TX
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Zip | 78253-6216
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Country | US
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Telephone | 713-391-4575
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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 | 766480
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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 | 2022141126
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License Number State | TX
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