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General NPI Number Information
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NPI Number | 1720467624
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Entity Type | Individual
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Provider Name | CHIZOBA NGESINA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | TEAMHEALTH 265 BROOKVIEW CENTRE WAY SUITE 400
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City | KNOXVILLE
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State | TN
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Zip | 37919
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Country | US
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Telephone | 856-686-4368
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Fax | 658-488-5368
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Provider Business Mailing Address
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Address Line | 1025 GRISSOM FARM RD
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City | GARNER
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State | NC
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Zip | 27529-7001
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Country | US
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Telephone | 919-561-8429
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2018016631
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.136844
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License Number State | OH
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