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General NPI Number Information
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NPI Number | 1235695008
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Entity Type | Individual
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Provider Name | MRS. CATHERINE IJEOMA NNADOZIE
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Gender | Female
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 590 MEDICAL CENTER ROAD FORT CAVAZOS
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City | KILLEEN
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State | TX
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Zip | 76544-6077
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Country | US
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Telephone | 254-618-7727
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Fax |
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Provider Business Mailing Address
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Address Line | 5106 KATY CREEK LN
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City | KILLEEN
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State | TX
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Zip | 76549-6077
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Country | US
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Telephone | 808-223-2496
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 797751
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License Number State | TX
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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 | AP141252
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License Number State | TX
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