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General NPI Number Information
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NPI Number | 1245183292
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Entity Type | Individual
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Provider Name | MARIAM OPAFUNSO NP
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 11430 WEST RD
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City | HOUSTON
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State | TX
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Zip | 77065-4712
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Country | US
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Telephone | 507-469-5303
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Fax |
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Provider Business Mailing Address
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Address Line | 11430 WEST RD
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City | HOUSTON
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State | TX
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Zip | 77065-4712
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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 |
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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 | 1108056
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License Number State | TX
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