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General NPI Number Information
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NPI Number | 1992609838
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Entity Type | Individual
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Provider Name | AUTHER CHIWUNGWE
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Gender | Male
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 30 7TH ST W STE 1F-121B
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City | DICKINSON
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State | ND
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Zip | 58601-4335
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Country | US
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Telephone | 701-402-3335
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Fax |
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Provider Business Mailing Address
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Address Line | 177 10TH AVE E APT 13
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City | DICKINSON
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State | ND
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Zip | 58601-5441
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Country | US
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Telephone | 701-690-5067
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | NDL329791
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License Number State | ND
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