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General NPI Number Information
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NPI Number | 1588747422
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Entity Type | Individual
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Provider Name | CHINYERE ROSE AMAZU M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 9500 ANNAPOLIS RD STE B7
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City | LANHAM
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State | MD
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Zip | 20706-2080
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Country | US
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Telephone | 301-429-5866
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Fax | 301-429-8818
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Provider Business Mailing Address
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Address Line | 9500 ANNAPOLIS RD. B-7
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City | LANHAM
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State | MD
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Zip | 20706-2080
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Country | US
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Telephone | 301-429-5866
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Fax | 301-429-8818
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD 30822
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License Number State | DC
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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 | D0050340
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License Number State | MD
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