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General NPI Number Information
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NPI Number | 1205446499
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Entity Type | Individual
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Provider Name | IFEOMA GERALDINE MENAKAYA APRN
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Gender | Female
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 3200 PECAN XING
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City | MESQUITE
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State | TX
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Zip | 75181-2935
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Country | US
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Telephone | 214-859-0375
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 PECAN XING
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City | MESQUITE
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State | TX
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Zip | 75181-2935
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Country | US
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Telephone | 214-859-0375
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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 | 68735
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP146080
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License Number State | TX
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