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General NPI Number Information
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NPI Number | 1366319394
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Entity Type | Individual
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Provider Name | PRECIOUS OKWUSE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1233 ARSENAL ST
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City | WATERTOWN
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State | NY
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Zip | 13601-2213
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Country | US
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Telephone | 315-221-5289
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Fax | 315-362-3839
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Provider Business Mailing Address
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Address Line | 3983 LAKE NED VILLAGE CIR
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City | WINTER HAVEN
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State | FL
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Zip | 33884-2586
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Country | US
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Telephone |
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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 | 358191
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License Number State | NY
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