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General NPI Number Information
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NPI Number | 1821332545
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Entity Type | Individual
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Provider Name | MILTON CHIMA OKWUOHA RN
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Gender | Male
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 9131 QUEENS BLVD STE 604 STE 604
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City | ELMHURST
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State | NY
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Zip | 11373-5501
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Country | US
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Telephone | 718-779-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 9720 57TH AVE APT 17J
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City | CORONA
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State | NY
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Zip | 11368-3539
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Country | US
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Telephone | 917-385-8832
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 592302
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License Number State | NY
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