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General NPI Number Information
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NPI Number | 1457754095
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Entity Type | Individual
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Provider Name | JOSEPHINE FANIKU FNP-C, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 9508 VIRGINIA AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-7521
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Country | US
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Telephone | 254-230-4777
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Fax | 254-501-6461
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Provider Business Mailing Address
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Address Line | 9508 VIRGINIA AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-7521
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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 |
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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 | F0814766
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | PMH02250002
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP126525
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License Number State | TX
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