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General NPI Number Information
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NPI Number | 1871005462
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Entity Type | Individual
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Provider Name | LEONARD I CHUKWUJIOKE
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Gender | Male
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 316 WARREN AVE STE 2
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City | FRONT ROYAL
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State | VA
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Zip | 22630-4480
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Country | US
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Telephone | 804-588-9178
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Fax | 571-441-0861
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Provider Business Mailing Address
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Address Line | 116 E MAIN ST
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City | FRONT ROYAL
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State | VA
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Zip | 22630-3337
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Country | US
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Telephone | 800-601-0790
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Fax | 571-441-0861
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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 | 374T00000X
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Taxonomy Name | Religious Nonmedical Nursing Personnel
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License Number | B509848
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | B509848
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | B509848
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License Number State | VA
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