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General NPI Number Information
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NPI Number | 1437896800
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Entity Type | Individual
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Provider Name | OBIANUJU CHIEMELU BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 211 WARREN ST STE 313
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City | NEWARK
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State | NJ
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Zip | 07103-3568
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Country | US
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Telephone | 973-757-5100
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Fax | 973-755-2002
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Provider Business Mailing Address
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Address Line | 211 WARREN ST STE 313
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City | NEWARK
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State | NJ
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Zip | 07103-3568
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Country | US
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Telephone | 973-757-5100
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Fax | 973-755-2002
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-22-59565
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License Number State | NJ
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