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General NPI Number Information
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NPI Number | 1053956508
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Entity Type | Individual
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Provider Name | MRS. IHECHI NGOZI NWOSUOCHA
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Gender | Female
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 2400 AUGUSTA DR STE 369
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City | HOUSTON
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State | TX
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Zip | 77057-4911
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Country | US
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Telephone | 713-347-1639
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Fax |
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Provider Business Mailing Address
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Address Line | 20010 BALLINGER RIDGE CT
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City | RICHMOND
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State | TX
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Zip | 77407-4057
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Country | US
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Telephone | 718-290-0207
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AG05190039
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License Number State | TX
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