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General NPI Number Information
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NPI Number | 1518820091
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Entity Type | Organization
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Legal Business Name | CLARITYACP
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 810 FRANCIS PL APT 2N
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City | SAINT LOUIS
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State | MO
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Zip | 63105-2426
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Country | US
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Telephone | 314-728-8287
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Fax |
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Provider Business Mailing Address
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Address Line | 810 FRANCIS PL APT 2N
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City | SAINT LOUIS
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State | MO
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Zip | 63105-2426
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Country | US
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Telephone | 314-728-8287
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DR. OGHOSA EVBUOMWAN
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Credential | MD, MPH, MBA
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Telephone | 314-728-8287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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