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General NPI Number Information
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NPI Number | 1770745184
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Entity Type | Individual
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Provider Name | CHINWE N. NDUBISI APRN, CRNP-F, PH.D
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Gender | Female
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 1400 MERCANTILE LN SUITE 124
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City | LARGO
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State | MD
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Zip | 20774-5341
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Country | US
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Telephone | 301-237-7383
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 MERCANTILE LN SUITE 124
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City | LARGO
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State | MD
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Zip | 20774-5341
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Country | US
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Telephone | 301-322-9292
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Fax | 310-322-9555
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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 | RN56166
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License Number State | DC
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