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General NPI Number Information
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NPI Number | 1073151916
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Entity Type | Individual
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Provider Name | NNAMDI OFOEZE NP
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Gender | Male
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 06/29/2024
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Provider Practice Location Address
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Address Line | 801 FM 1463 RD # 200-257
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City | KATY
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State | TX
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Zip | 77494-7924
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Country | US
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Telephone | 281-562-9553
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Fax |
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Provider Business Mailing Address
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Address Line | 23607 BATESVILLE CT
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City | KATY
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State | TX
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Zip | 77493-4176
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Country | US
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Telephone | 562-256-4810
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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 | 1072787
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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 | 95013416
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License Number State | CA
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