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General NPI Number Information
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NPI Number | 1720628290
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Entity Type | Individual
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Provider Name | CHICHY NWACHUKWU NP
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Gender | Female
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 2550 GRAY FALLS DR STE 120
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City | HOUSTON
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State | TX
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Zip | 77077-6600
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Country | US
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Telephone | 281-496-3355
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Fax |
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Provider Business Mailing Address
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Address Line | 20706 BANDROCK TER
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City | RICHMOND
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State | TX
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Zip | 77407-1473
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Country | US
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Telephone | 832-322-0907
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 143189
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License Number State | TX
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