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General NPI Number Information
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NPI Number | 1285093062
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Entity Type | Individual
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Provider Name | BETTY C CHUKWUMA DNP
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Gender | Female
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 13505 US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958
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Country | US
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Telephone | 772-257-8224
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Fax | 772-213-3157
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Provider Business Mailing Address
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Address Line | 1035 S STATE ROAD 7 STE 315-12
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City | WELLINGTON
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State | FL
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Zip | 33414-6134
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Country | US
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Telephone | 561-414-3321
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Fax | 561-489-6805
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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 | ARNP9296627
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License Number State | FL
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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 | APRN9296627
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License Number State | FL
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