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General NPI Number Information
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NPI Number | 1346948254
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Entity Type | Individual
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Provider Name | BLESSING CHINEMEREM NWORGU NP
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Gender | Female
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 80 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3031
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Country | US
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Telephone | 470-653-6752
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Fax | 404-616-1386
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Provider Business Mailing Address
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Address Line | 1175 PROSPECT MILL DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-2697
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Country | US
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Telephone | 678-913-6263
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2024094627
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN272867
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License Number State | GA
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