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General NPI Number Information
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NPI Number | 1326386962
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Entity Type | Individual
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Provider Name | CHIOMA PAULINE NWABUDE N.P
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Gender | Female
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Dates
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Enumeration Date | 01/16/2013
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 340 W CENTRAL AVE STE 110
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City | BREA
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State | CA
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Zip | 92821-3006
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Country | US
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Telephone | 714-529-3971
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 ASSOCIATED RD
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City | FULLERTON
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State | CA
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Zip | 92831-1355
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Country | US
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Telephone | 580-484-1162
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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 | 22715
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License Number State | CA
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