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General NPI Number Information
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NPI Number | 1366036832
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Entity Type | Individual
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Provider Name | JOY OBIANUJU ANEKE
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Gender | Female
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 201 KINGWOOD MEDICAL DR STE A450
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City | KINGWOOD
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State | TX
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Zip | 77339-6027
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Country | US
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Telephone | 832-701-0283
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Fax |
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Provider Business Mailing Address
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Address Line | 14318 KINGSTON FALLS LN
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City | HUMBLE
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State | TX
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Zip | 77396-1932
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Country | US
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Telephone | 281-608-9172
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 2020090152
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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 | 2020090152
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License Number State | TX
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