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General NPI Number Information
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NPI Number | 1568974129
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Entity Type | Individual
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Provider Name | ADESUWA SARAH OHUOBA PMHNP-BC, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 2831 SAINT ROSE PKWY STE 222
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City | HENDERSON
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State | NV
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Zip | 89052-4840
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Country | US
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Telephone | 702-589-4871
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Fax |
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Provider Business Mailing Address
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Address Line | 20118 BANDERA LAKE LN
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City | RICHMOND
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State | TX
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Zip | 77407-1569
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Country | US
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Telephone | 832-978-9787
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP135186
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License Number State | TX
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