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General NPI Number Information
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NPI Number | 1114666021
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Entity Type | Individual
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Provider Name | IJEOMA NJOKU NP
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Gender | Female
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 5800 RIDGE AVE,
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City | PHILADELPHIA
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State | PA
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Zip | 19128
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Country | US
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Telephone | 215-509-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 224 FELTON AVE
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City | SHARON HILL
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State | PA
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Zip | 19079-2105
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Country | US
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Telephone |
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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 | SP025263
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License Number State | PA
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