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General NPI Number Information
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NPI Number | 1295376630
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Entity Type | Individual
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Provider Name | KEHINDE ROMOKE AMOSUN FNP
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Gender | Female
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 873 S STEMMONS FWY
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City | LEWISVILLE
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State | TX
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Zip | 75067-5351
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Country | US
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Telephone | 214-395-8659
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Fax | 833-966-2321
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Provider Business Mailing Address
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Address Line | 3101 WILLOW CREEK CT
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City | NORTHLAKE
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State | TX
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Zip | 76226-4061
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Country | US
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Telephone | 214-395-8659
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Fax | 833-966-2321
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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 | AP143304
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License Number State | TX
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