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General NPI Number Information
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NPI Number | 1124753405
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Entity Type | Individual
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Provider Name | NNEKA ANYANWU NP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 3033 CHIMNEY ROCK RD STE 519
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City | HOUSTON
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State | TX
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Zip | 77056-6260
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Country | US
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Telephone | 832-280-4054
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Fax | 832-699-7989
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Provider Business Mailing Address
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Address Line | 5604 TARES CIR
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City | ELK GROVE
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State | CA
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Zip | 95757-4362
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Country | US
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Telephone | 225-921-0851
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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 | 95020950
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1098553
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License Number State | TX
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