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General NPI Number Information
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NPI Number | 1992100903
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Entity Type | Individual
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Provider Name | DAMARIS CHUKWURA
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Gender | Female
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 8500 NORMANDALE LAKE BLVD STE 350
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City | BLOOMINGTON
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State | MN
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Zip | 55437-3805
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Country | US
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Telephone | 833-351-8255
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Fax | 888-815-3583
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Provider Business Mailing Address
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Address Line | 109 W 27TH ST RM 5S
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City | NEW YORK
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State | NY
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Zip | 10001-6208
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Country | US
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Telephone | 833-351-8255
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Fax | 888-815-3583
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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 | 7325
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2480881
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP126692
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 14231263-4405
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 752143
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License Number State | TX
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