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General NPI Number Information
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NPI Number | 1457058554
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Entity Type | Individual
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Provider Name | JOY ONYEUGWOR FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 6029 BELT LINE RD STE 105
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City | DALLAS
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State | TX
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Zip | 75254-7873
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Country | US
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Telephone | 855-893-5637
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Fax | 817-666-3873
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Provider Business Mailing Address
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Address Line | 649 HUTCHINS DR
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City | CROWLEY
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State | TX
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Zip | 76036-2749
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Country | US
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Telephone | 817-703-5445
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1110432
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1110432
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License Number State | TX
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