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General NPI Number Information
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NPI Number | 1659985943
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Entity Type | Individual
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Provider Name | ROSEMOURINE CHINWENDU OBI CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1160 VARNUM ST NE STE 218
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City | WASHINGTON
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State | DC
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Zip | 20017-2106
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Country | US
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Telephone | 202-269-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 VARNUM STREET NE. SUITE #218, WASHINGTON, DISTRICT
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City | WASHINGTON DC
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State | DC
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Zip | 20017-2324
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Country | US
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Telephone | 202-269-6600
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | RN1039612
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | R235552
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN1039612
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN1039612
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R235552
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License Number State | MD
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