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General NPI Number Information
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NPI Number | 1447039094
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Entity Type | Organization
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Legal Business Name | PAULIBER HEALTHCARE LLC
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 4494 W PEORIA AVE STE 13115A
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City | GLENDALE
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State | AZ
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Zip | 85302-2023
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Country | US
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Telephone | 713-256-9323
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Fax |
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Provider Business Mailing Address
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Address Line | 5603 GEMSTONE PARK RD
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City | RICHMOND
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State | TX
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Zip | 77407-4165
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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 | NURSE PRACTITIONER
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Name | HUBERTE KOUENSOH
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Credential | FNP
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Telephone | 713-256-9323
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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 |
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License Number State |
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