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General NPI Number Information
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NPI Number | 1598479479
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Entity Type | Individual
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Provider Name | NJUAMBO PRUDENCE NOSIMBANG FNP
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Gender | Female
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 6130 W PARKER RD STE 406
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City | PLANO
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State | TX
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Zip | 75093-7969
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Country | US
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Telephone | 972-981-7168
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Fax | 972-981-0080
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Provider Business Mailing Address
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Address Line | 7560 JOSHUA RD
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City | FRISCO
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State | TX
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Zip | 75033-3382
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Country | US
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Telephone | 409-256-0877
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1191343
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License Number State | TX
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