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General NPI Number Information
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NPI Number | 1407351430
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Entity Type | Individual
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Provider Name | CHIEMERIE E. UCHE MSN, CRNP, NP-C
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Gender | Male
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 1220A E JOPPA RD STE 109
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City | TOWSON
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State | MD
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Zip | 21286-5816
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Country | US
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Telephone | 302-442-0855
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 WAVERLY WAY
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City | BALTIMORE
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State | MD
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Zip | 21239-2329
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Country | US
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Telephone | 302-442-0855
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R208088
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License Number State | MD
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