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General NPI Number Information
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NPI Number | 1063086981
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Entity Type | Individual
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Provider Name | BERNADETTE MURORUNKWERE PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2021
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Last Update Date | 06/26/2022
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Provider Practice Location Address
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Address Line | 20708 SONG BIRD DR
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-7881
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Country | US
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Telephone | 512-939-0329
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29735
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City | SAN ANTONIO
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State | TX
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Zip | 78229-0735
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Country | US
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Telephone | 512-939-0329
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1035562
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License Number State | TX
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