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General NPI Number Information
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NPI Number | 1265062236
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Entity Type | Individual
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Provider Name | MRS. IYINGIERE ZIWORITIN
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Gender | Female
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Dates
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Enumeration Date | 01/18/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 20923 KINGSLAND BLVD STE 100
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City | KATY
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State | TX
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Zip | 77450-5548
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Country | US
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Telephone | 281-896-8915
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Fax |
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Provider Business Mailing Address
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Address Line | 6630 FM 1463 RD STE B500-198
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City | FULSHEAR
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State | TX
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Zip | 77494-7412
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Country | US
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Telephone | 832-520-6132
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP142973
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License Number State | TX
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