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General NPI Number Information
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NPI Number | 1215647748
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Entity Type | Organization
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Legal Business Name | STIGS INC
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 4926 ALAINA DR
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City | ROSHARON
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State | TX
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Zip | 77583-0440
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Country | US
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Telephone | 210-854-0506
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Fax |
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Provider Business Mailing Address
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Address Line | 4926 ALAINA DR
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City | ROSHARON
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State | TX
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Zip | 77583-0440
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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 | OWNER
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Name | NGOZI D. MBUE
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Credential |
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Telephone | 281-972-9666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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