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General NPI Number Information
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NPI Number | 1518380781
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Entity Type | Individual
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Provider Name | IFEOMA PRISCILLA NWOSU FNP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 6400 HILLCROFT ST STE 100
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City | HOUSTON
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State | TX
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Zip | 77081-3107
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Country | US
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Telephone | 713-998-3921
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Fax | 713-771-8552
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Provider Business Mailing Address
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Address Line | 7918 BLAZING GAP
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City | MISSOURI CITY
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State | TX
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Zip | 77459-6053
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Country | US
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Telephone | 713-269-0690
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Fax | 713-771-8552
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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 | AP124751
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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 | 725712
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License Number State | TX
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