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General NPI Number Information
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NPI Number | 1467939785
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Entity Type | Individual
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Provider Name | CHIEDOZIE C CHIGEWE NP
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Gender | Male
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Dates
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Enumeration Date | 07/20/2018
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 2010 ATLANTIC AVE
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City | BROOKLYN
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State | NY
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Zip | 11233-3163
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Country | US
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Telephone | 718-408-6366
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Fax |
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Provider Business Mailing Address
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Address Line | 9404 218TH ST
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-2139
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Country | US
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Telephone | 347-620-1760
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F402519-1
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License Number State | NY
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