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General NPI Number Information
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NPI Number | 1902304769
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Entity Type | Organization
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Legal Business Name | C M MEDICAL
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 3022 S DURANGO DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89117-4440
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Country | US
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Telephone | 702-256-3637
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Fax |
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Provider Business Mailing Address
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Address Line | 3022 S DURANGO DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89117-4440
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Country | US
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Telephone | 702-256-3637
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Fax |
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Authorized Official
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Title or Position | MD
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Name | CHIKE MAGNUS NZERUE
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Credential | MD
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Telephone | 404-556-7313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 17156
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License Number State | NV
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