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General NPI Number Information
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NPI Number | 1770102469
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Entity Type | Individual
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Provider Name | NNAEMEKA ANTHONY NWEKE MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 475 SEAVIEW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3436
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Country | US
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Telephone | 214-799-3412
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Fax |
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Provider Business Mailing Address
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Address Line | 161 SUSSEX AVE
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City | NEWARK
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State | NJ
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Zip | 07103
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | V8351
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License Number State | TX
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