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General NPI Number Information
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NPI Number | 1366697351
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Entity Type | Individual
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Provider Name | CHINYERE IJEOMA NDUKUBA
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Gender | Female
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 08/07/2010
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Provider Practice Location Address
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Address Line | 1300 ROUTE 17 N
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City | RAMSEY
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State | NJ
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Zip | 07446-1167
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Country | US
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Telephone | 201-327-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 37 LAWRENCE PL
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City | CHESTNUT RIDGE
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State | NY
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Zip | 10977-6414
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Country | US
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Telephone | 601-405-1709
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-09999
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License Number State | MS
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