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General NPI Number Information
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NPI Number | 1689132292
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Entity Type | Individual
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Provider Name | JUDITH CHINONSO UWAZURUONYE
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Gender | Female
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 14 RED GRAVEL CIR
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-1672
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Country | US
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Telephone | 856-418-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 14 RED GRAVEL CIR
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-1672
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Country | US
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Telephone | 856-264-6915
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ01435700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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