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General NPI Number Information
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NPI Number | 1083408538
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Entity Type | Individual
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Provider Name | LILIAN C OFOR NP
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 10100 KLECKLEY DRIVE# #B6
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City | HOUSTON
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State | TX
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Zip | 77075
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Country | US
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Telephone | 832-742-9632
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Fax | 832-742-9679
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Provider Business Mailing Address
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Address Line | 9930 SAGEGLOW DR
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City | HOUSTON
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State | TX
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Zip | 77089-5007
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Country | US
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Telephone | 713-447-2204
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 113803
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License Number State | TX
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