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General NPI Number Information
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NPI Number | 1396245015
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Entity Type | Individual
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Provider Name | SAMUEL NJINDONG NJINDONG REGISTERED NURSE
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Gender | Male
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 5801 OAKMERE LN
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City | AUBREY
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State | TX
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Zip | 76227-1916
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Country | US
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Telephone | 214-994-2970
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 OAKMERE LN
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City | AUBREY
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State | TX
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Zip | 76227-1916
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Country | US
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Telephone | 214-994-2970
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 335729
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1041196
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License Number State | TX
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