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General NPI Number Information
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NPI Number | 1134060551
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Entity Type | Individual
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Provider Name | IRIN NJUAKOM RN
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Gender | Female
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 4100 W 3RD ST
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City | DAYTON
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State | OH
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Zip | 45428-9000
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Country | US
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Telephone | 937-268-6511
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Fax |
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Provider Business Mailing Address
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Address Line | 810 VERMONT AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20420-0001
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Country | US
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Telephone | 602-501-6715
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 156634
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License Number State | WI
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