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General NPI Number Information
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NPI Number | 1003102732
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Entity Type | Individual
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Provider Name | EBERENNE F IGBOKWE D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 11041 SHADOW CREEK PKWY STE 121-212
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City | PEARLAND
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State | TX
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Zip | 77584-7402
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Country | US
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Telephone | 832-848-0131
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Fax | 713-583-4804
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Provider Business Mailing Address
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Address Line | 11041 SHADOW CREEK PKWY STE 121-212
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City | PEARLAND
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State | TX
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Zip | 77584-7402
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Country | US
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Telephone | 832-848-0131
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Fax | 713-583-4804
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | P6428
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License Number State | TX
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