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General NPI Number Information
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NPI Number | 1013606185
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Entity Type | Individual
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Provider Name | IJEOMA GLADYS OBIJURU PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 16610 CLIFF VALE CT STE 100
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City | HOUSTON
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State | TX
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Zip | 77084-4401
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Country | US
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Telephone | 713-575-0795
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Fax | 713-357-9325
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Provider Business Mailing Address
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Address Line | 16610 CLIFF VALE CT
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City | HOUSTON
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State | TX
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Zip | 77084-4401
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Country | US
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Telephone | 713-575-0795
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Fax | 713-357-9325
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 1117413
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License Number State | TX
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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 | 1117413
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License Number State | TX
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