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General NPI Number Information
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NPI Number | 1447079876
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Entity Type | Individual
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Provider Name | CHINYERE UCHE ADT
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Gender | Female
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 17 E FRANKLIN ST
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City | BALTIMORE
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State | MD
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Zip | 21202-2203
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Country | US
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Telephone | 410-600-3500
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Fax | 410-600-3499
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Provider Business Mailing Address
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Address Line | 632 RIORDAN TER
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City | TOWSON
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State | MD
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Zip | 21204-2438
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Country | US
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Telephone | 410-900-0123
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ADT3226
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License Number State | MD
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