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General NPI Number Information
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NPI Number | 1306268701
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Entity Type | Individual
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Provider Name | CHINELO ENWONWU PHARMD,MPH,CHES
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Gender | Female
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Dates
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Enumeration Date | 01/20/2014
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 320 40TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20019-3372
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Country | US
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Telephone | 202-396-2331
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Fax |
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Provider Business Mailing Address
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Address Line | 6518 CHINA GROVE CT
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City | ALEXANDRIA
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State | VA
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Zip | 22310-2430
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Country | US
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Telephone | 216-288-9655
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 13693
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License Number State |
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202211247
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH100001022
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License Number State | DC
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