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General NPI Number Information
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NPI Number | 1447496047
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Entity Type | Individual
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Provider Name | GWENDOLINE NGANKEU MENGA DO
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Gender | Female
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Dates
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Enumeration Date | 01/02/2009
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 3068 COLLEGE PARK DR STE A
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City | CONROE
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State | TX
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Zip | 77384-8002
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Country | US
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Telephone | 832-821-5550
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Fax | 936-207-4109
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Provider Business Mailing Address
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Address Line | 3068 COLLEGE PARK DR STE A
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City | CONROE
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State | TX
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Zip | 77384-8002
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Country | US
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Telephone | 832-821-5550
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Fax | 936-207-4109
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | N8040
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | DO.000169
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License Number State | LA
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