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General NPI Number Information
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NPI Number | 1386377612
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Entity Type | Individual
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Provider Name | JOECOLINE NWACHUKWU
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Gender | Male
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 1550 N D ST STE D
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-4720
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Country | US
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Telephone | 909-688-6151
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Fax | 951-399-2038
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Provider Business Mailing Address
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Address Line | 1550 N D ST STE D
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-4720
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Country | US
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Telephone | 909-688-6151
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Fax | 951-399-2038
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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 | 95021528
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License Number State | CA
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