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General NPI Number Information
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NPI Number | 1235827908
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Entity Type | Individual
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Provider Name | ELSA OBONYO RN, BSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 4144 N CENTRAL EXPY STE 850
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City | DALLAS
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State | TX
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Zip | 75204-3226
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Country | US
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Telephone | 972-472-2409
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Fax |
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Provider Business Mailing Address
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Address Line | 6606 SWAINSON TRL
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City | ARLINGTON
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State | TX
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Zip | 76002-3688
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Country | US
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Telephone | 817-500-8007
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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 | 1114787
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License Number State | TX
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