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General NPI Number Information
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NPI Number | 1922564905
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Entity Type | Individual
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Provider Name | CHINWE MARGARET CHUKWUDEBELU RN
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Gender | Female
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 11080 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-1937
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Country | US
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Telephone | 310-966-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 5762 RAVENSPUR DR APT 310
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-3513
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Country | US
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Telephone | 323-600-7429
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95078885
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License Number State | CA
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