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General NPI Number Information
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NPI Number | 1669921425
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Entity Type | Individual
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Provider Name | CHINYERE MBADUGHA
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Gender | Female
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 9105 ALL SAINTS RD STE M
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City | LAUREL
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State | MD
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Zip | 20723-1750
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Country | US
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Telephone | 240-280-7020
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Fax | 240-244-0618
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Provider Business Mailing Address
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Address Line | 9422 FOREST GATES PATH
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City | LAUREL
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State | MD
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Zip | 20723-1492
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Country | US
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Telephone | 202-664-6915
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 23653
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License Number State | MD
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