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General NPI Number Information
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NPI Number | 1790275329
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Entity Type | Individual
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Provider Name | CHINENYE ANN AMAJOR NP
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Gender | Female
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 1717 MCKINNEY AVE STE 700
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City | DALLAS
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State | TX
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Zip | 75202-1241
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Country | US
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Telephone | 972-505-1584
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Fax | 844-582-3627
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Provider Business Mailing Address
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Address Line | PO BOX 8887
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City | GREENVILLE
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State | TX
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Zip | 75404-8887
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Country | US
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Telephone | 903-200-1277
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Fax | 903-269-3503
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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 | AP136311
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License Number State | TX
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