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General NPI Number Information
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NPI Number | 1477371144
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Entity Type | Individual
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Provider Name | CHIMAMKPA METU
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Gender | Male
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 1509 WILSON TER
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City | GLENDALE
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State | CA
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Zip | 91206-4007
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Country | US
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Telephone | 818-409-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 840
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91603-0840
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Country | US
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Telephone | 858-609-9842
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 167G00000X
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Taxonomy Name | Licensed Psychiatric Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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