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General NPI Number Information
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NPI Number | 1225593783
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Entity Type | Individual
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Provider Name | EKELECHI NWANJU CRNA, DNP
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Gender | Female
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 365 MONTAUK AVE
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City | NEW LONDON
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State | CT
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Zip | 06320-4700
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Country | US
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Telephone | 973-970-8044
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Fax |
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Provider Business Mailing Address
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Address Line | 138 COLLEGE ST APT 615
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3426
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Country | US
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Telephone | 973-970-8044
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 8081
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 819424
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License Number State | NY
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