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General NPI Number Information
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NPI Number | 1215999040
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Entity Type | Individual
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Provider Name | VERONICA NGOZI OGULA PMHNP/BC. DNP
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Gender | Female
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 107 W MAIN ST
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City | EAST ISLIP
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State | NY
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Zip | 11730-2337
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Country | US
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Telephone | 917-825-8463
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Fax | 516-706-4908
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Provider Business Mailing Address
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Address Line | 76 ASH STREET
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City | VALLEY STREAM
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State | NY
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Zip | 11580
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Country | US
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Telephone | 516-812-7849
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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 | 400956
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License Number State | NY
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