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General NPI Number Information
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NPI Number | 1316887292
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Entity Type | Individual
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Provider Name | CHIJINDU NNAEMEKA NWAKAMA MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 04/05/2026
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Provider Practice Location Address
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Address Line | 5970 CHURCHVIEW DR
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City | ROCKFORD
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State | IL
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Zip | 61107-2574
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Country | US
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Telephone | 815-971-8990
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Fax | 815-971-9978
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Provider Business Mailing Address
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Address Line | 800 N BROADWAY APT 5
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City | BALTIMORE
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State | MD
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Zip | 21205-1496
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Country | US
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Telephone | 667-219-8323
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IL
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