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General NPI Number Information
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NPI Number | 1467171322
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Entity Type | Individual
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Provider Name | ELIZABETH NZOMO
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Gender | Female
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1332 KING JAMES CT
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City | BEAR
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State | DE
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Zip | 19701-4744
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Country | US
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Telephone | 302-983-2895
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 KING JAMES CT
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City | BEAR
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State | DE
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Zip | 19701-4744
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Country | US
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Telephone | 302-983-2895
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 000044504
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LP-0010584
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License Number State | DE
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