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General NPI Number Information
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NPI Number | 1750048476
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Entity Type | Individual
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Provider Name | CHISOM CHIWENDU ENEREMADU FNP
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Gender | Female
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 2222 GREENHOUSE RD STE 300
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City | HOUSTON
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State | TX
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Zip | 77084-7288
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Country | US
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Telephone | 281-982-2144
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Fax | 855-540-2487
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Provider Business Mailing Address
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Address Line | PO BOX 58538
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City | WEBSTER
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State | TX
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Zip | 77598-8538
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Country | US
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Telephone | 281-982-2144
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Fax | 855-540-2487
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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 | 1141017
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License Number State | TX
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