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General NPI Number Information
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NPI Number | 1891982013
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Entity Type | Individual
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Provider Name | CHINEDU OKO NWOGBURU LPC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 825 CRAWFORD PKWY
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City | PORTSMOUTH
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State | VA
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Zip | 23704-2301
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Country | US
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Telephone | 757-391-6581
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Fax | 757-391-6560
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Provider Business Mailing Address
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Address Line | 5540 MAPLE CLUSTER CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-7195
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Country | US
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Telephone | 757-391-6581
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Fax | 757-391-6560
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701004260
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License Number State | VA
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