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General NPI Number Information
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NPI Number | 1639590268
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Entity Type | Individual
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Provider Name | CHINWENDU MERRILIES CHINEKE FNP
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Gender | Female
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Dates
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Enumeration Date | 12/28/2013
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Last Update Date | 12/28/2013
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Provider Practice Location Address
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Address Line | 3601 BUDDY OWENS AVE SUITE 300
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City | MCALLEN
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State | TX
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Zip | 78504-6446
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Country | US
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Telephone | 956-213-8494
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 ANDREA AVE
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City | EDINBURG
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State | TX
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Zip | 78539-7192
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Country | US
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Telephone | 956-429-9309
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 748524
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License Number State | TX
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