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General NPI Number Information
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NPI Number | 1386406056
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Entity Type | Individual
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Provider Name | DANIEL MUGIRO NYANCHOKA FNP
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Gender | Male
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Dates
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Enumeration Date | 01/26/2024
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 11800 ASTORIA BLVD
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City | HOUSTON
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State | TX
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Zip | 77089-6041
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Country | US
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Telephone | 570-886-6870
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Fax |
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Provider Business Mailing Address
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Address Line | 1606 MOUNT CONNESS LN
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City | ROSHARON
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State | TX
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Zip | 77583-2989
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Country | US
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Telephone | 157-088-6687
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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 | 1099885
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License Number State | TX
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