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General NPI Number Information
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NPI Number | 1578824637
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Entity Type | Individual
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Provider Name | NKIRUKA EMEAGWALI MD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 44 N PLAINS INDUSTRIAL ROAD
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City | WALLINGFORD
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State | CT
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Zip | 06492
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Country | US
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Telephone | 917-881-8298
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Fax |
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Provider Business Mailing Address
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Address Line | 44 N PLAINS INDUSTRIAL ROAD
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City | WALLINGFORD
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State | CT
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Zip | 06492
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Country | US
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Telephone | 917-881-8298
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LP02639
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | LP02639
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 15894
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License Number State | ND
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