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General NPI Number Information
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NPI Number | 1912726506
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Entity Type | Individual
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Provider Name | AMARACHUKWU CHUKWUNENYE PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 1459 OXFORD RD NE
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City | ATLANTA
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State | GA
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Zip | 30307-1046
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Country | US
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Telephone | 678-459-4619
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 N DRUID HILLS RD APT 4203
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City | DECATUR
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State | GA
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Zip | 30033-2648
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Country | US
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Telephone | 215-531-0693
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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