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General NPI Number Information
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NPI Number | 1588303788
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Entity Type | Individual
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Provider Name | CHINASA EZINNE ORIAKU DNP, PMHNP-BC,PMH-BC
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Gender | Female
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 15080 E BELTWOOD PKWY STE 108
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City | ADDISON
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State | TX
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Zip | 75001-3725
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Country | US
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Telephone | 214-677-6119
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Fax | 469-543-0059
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Provider Business Mailing Address
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Address Line | 15080 E BELTWOOD PKWY STE 108
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City | ADDISON
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State | TX
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Zip | 75001-3725
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Country | US
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Telephone | 214-677-6119
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Fax | 469-543-0059
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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 | 1078111
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 792775
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 50671
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License Number State | WY
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