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General NPI Number Information
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NPI Number | 1114583978
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Entity Type | Individual
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Provider Name | PAULINE OMWENGA MWEBI APRN
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Gender | Female
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 9250 PINECROFT DR
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City | SHENANDOAH
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State | TX
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Zip | 77380-3218
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Country | US
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Telephone | 713-897-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 23402 FARFALLA LN
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City | RICHMOND
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State | TX
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Zip | 77406-2071
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Country | US
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Telephone | 682-553-2891
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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 | AP140833
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP140833
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License Number State | TX
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