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General NPI Number Information
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NPI Number | 1487475372
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Entity Type | Individual
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Provider Name | UGONMA ESTHER IGWE NP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 850 W CENTRAL TEXAS EXPY
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-1890
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Country | US
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Telephone | 254-690-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 3261 ELIZABETH ANNE LN
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City | ROUND ROCK
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State | TX
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Zip | 78664-5721
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1177830
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License Number State | TX
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