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General NPI Number Information
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NPI Number | 1528594926
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Entity Type | Individual
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Provider Name | CORDELIA O NWANKWO NP
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Gender | Female
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 305 8TH AVE NE
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City | MINOT
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State | ND
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Zip | 58703-2624
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Country | US
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Telephone | 701-857-3926
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5010
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City | MINOT
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State | ND
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Zip | 58702-5010
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Country | US
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Telephone | 701-857-5650
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Fax | 701-856-5031
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R097248
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R44443
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License Number State | ND
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