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General NPI Number Information
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NPI Number | 1558287953
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Entity Type | Individual
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Provider Name | THERESA NZOIWU
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 1009 N GEORGETOWN ST
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City | ROUND ROCK
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State | TX
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Zip | 78664-3289
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Country | US
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Telephone | 737-340-6937
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Fax |
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Provider Business Mailing Address
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Address Line | 349 PONDEROSA RD
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City | BASTROP
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State | TX
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Zip | 78602-5004
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Country | US
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Telephone | 737-340-6937
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 647364
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License Number State | TX
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