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General NPI Number Information
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NPI Number | 1427396373
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Entity Type | Individual
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Provider Name | NGOZI THERESA CHIEKWU PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 1508 PENNSYLVANIA AVE STE 1C
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City | WILMINGTON
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State | DE
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Zip | 19806-4347
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Country | US
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Telephone | 302-427-8000
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Fax | 302-601-5583
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Provider Business Mailing Address
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Address Line | 1508 PENNSYLVANIA AVE STE 1C
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City | WILMINGTON
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State | DE
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Zip | 19806-4347
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Country | US
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Telephone | 302-427-8000
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Fax | 302-601-5583
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 2012015244
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L-80000157
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AC001249
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0000157
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License Number State | DE
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