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General NPI Number Information
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NPI Number | 1871403501
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Entity Type | Individual
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Provider Name | MS. JUDITH CHINWE ASIKA
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 2421 QUEENSTON AVE
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City | NORMAN
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State | OK
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Zip | 73071-3845
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Country | US
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Telephone | 208-280-2830
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Fax |
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Provider Business Mailing Address
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Address Line | 10673 W LAKE HAZEL RD # 79
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City | BOISE
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State | ID
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Zip | 83709-5453
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Country | US
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Telephone | 208-280-2830
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 230331
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License Number State | OK
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