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General NPI Number Information
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NPI Number | 1255722187
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Entity Type | Individual
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Provider Name | FLORENCE CHINWE UKENYE CRNP (NURSE PRACTITI
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Gender | Female
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 7700 OLD BRANCH AVENUE SUITE B205
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City | CLINTON
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State | MD
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Zip | 20735
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Country | US
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Telephone | 301-877-4933
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 OLD BRANCH AVENUE SUITE B205
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City | CLINTON
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State | MD
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Zip | 20735
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Country | US
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Telephone | 301-877-4933
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R162287
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License Number State | MD
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