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General NPI Number Information
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NPI Number | 1013148766
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Entity Type | Individual
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Provider Name | NGOZI LYNDA UMEZURIKE RN BSN
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Gender | Female
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 900 8TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-3902
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Country | US
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Telephone | 817-834-8500
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Fax | 469-713-8870
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Provider Business Mailing Address
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Address Line | 909 9TH AVE STE 400
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City | FORT WORTH
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State | TX
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Zip | 76104-3932
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Country | US
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Telephone | 817-834-8500
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Fax | 469-713-8870
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP136375
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License Number State | TX
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