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General NPI Number Information
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NPI Number | 1578027975
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Entity Type | Organization
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Legal Business Name | CHINNE HEALTH SYSTEMS LLC
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 330 LYNNWAY STE 112
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City | LYNN
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State | MA
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Zip | 01901-1706
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Country | US
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Telephone | 781-593-3900
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Fax | 781-593-3944
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Provider Business Mailing Address
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Address Line | 330 LYNNWAY STE 112
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City | LYNN
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State | MA
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Zip | 01901-1706
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | ANNETTE OKEREKE
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Credential | DNP NP-C PMHNP-BC
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Telephone | 781-593-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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