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General NPI Number Information
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NPI Number | 1497156418
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Entity Type | Individual
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Provider Name | GODFREY OGBONNA ANEKE DNP, PMHNP-BC FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 230 HILTON AVE STE 15
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City | HEMPSTEAD
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State | NY
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Zip | 11550-8116
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Country | US
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Telephone | 516-854-0101
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Fax | 757-767-7905
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Provider Business Mailing Address
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Address Line | 11869 TOPPELL TRL
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City | HASLET
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State | TX
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Zip | 76052-1509
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Country | US
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Telephone | 972-210-0690
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Fax | 757-767-7905
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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 | F338939
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License Number State | NY
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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 | F403457
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License Number State | NY
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