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General NPI Number Information
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NPI Number | 1841908597
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Entity Type | Individual
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Provider Name | CHINWENDU CLAUDIA ANUKAM
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Gender | Female
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Dates
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Enumeration Date | 11/11/2022
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 29101 HOSPITAL RD
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City | LAKE ARROWHEAD
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State | CA
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Zip | 92352-9706
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Country | US
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Telephone | 909-336-3651
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Fax |
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Provider Business Mailing Address
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Address Line | 16522 OASIS MEADOW LN
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City | RICHMOND
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State | TX
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Zip | 77407-1110
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Country | US
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Telephone | 817-714-5692
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1098118
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95032456
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN04290
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License Number State | RI
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