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General NPI Number Information
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NPI Number | 1306392444
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Entity Type | Individual
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Provider Name | VICTORIA UKOHA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 1800 N GALLOWAY AVE STE 100
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City | MESQUITE
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State | TX
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Zip | 75149-2769
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Country | US
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Telephone | 972-279-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 306 STONEMEADE WAY
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City | COPPELL
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State | TX
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Zip | 75019-2679
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Country | US
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Telephone | 469-774-2085
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Fax | 972-393-9272
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP131720
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License Number State | TX
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