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General NPI Number Information
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NPI Number | 1336732197
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Entity Type | Individual
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Provider Name | UCHE IKE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 2550 W UNION HILLS DR # 350-8943
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City | PHOENIX
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State | AZ
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Zip | 85027-5163
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Country | US
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Telephone | 602-551-7009
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Fax |
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Provider Business Mailing Address
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Address Line | 222 HONEYSUCKLE VINE DR
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City | ROSENBERG
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State | TX
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Zip | 77469-5788
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Country | US
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Telephone | 267-332-1053
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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 | 1026507
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95019944
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202113376NP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 256479
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License Number State | AZ
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