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General NPI Number Information
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NPI Number | 1235504663
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Entity Type | Individual
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Provider Name | IKECHUKWU WILSON NWOSU NP
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Gender | Male
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Dates
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Enumeration Date | 12/10/2015
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 7450 ALBERT RD FL 3
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City | BRANDYWINE
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State | MD
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Zip | 20613-3035
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Country | US
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Telephone | 301-888-2233
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Fax | 301-997-1489
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Provider Business Mailing Address
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Address Line | 7450 ALBERT RD FL 3
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City | BRANDYWINE
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State | MD
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Zip | 20613-3035
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Country | US
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Telephone | 301-888-2233
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Fax | 301-997-1489
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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 | NP1023532
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R253041
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License Number State | MD
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