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General NPI Number Information
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NPI Number | 1699593319
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Entity Type | Individual
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Provider Name | CHRISTINE NWAEZEAPU RN
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Gender | Female
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 2320 E 93RD ST
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City | CHICAGO
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State | IL
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Zip | 60617-3909
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Country | US
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Telephone | 773-967-5436
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Fax |
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1253
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209035011
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041476075
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28255521A
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License Number State | IN
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