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General NPI Number Information
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NPI Number | 1609544162
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Entity Type | Individual
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Provider Name | KAFILAT SHOBAJO NP
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Gender | Female
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 2705 BROADWAY ST STE 101
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City | PEARLAND
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State | TX
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Zip | 77581-4915
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Country | US
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Telephone | 281-412-0508
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Fax | 281-741-9076
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Provider Business Mailing Address
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Address Line | 2705 BROADWAY ST STE 101
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City | PEARLAND
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State | TX
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Zip | 77581-4915
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Country | US
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Telephone | 281-412-0508
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Fax | 281-741-9076
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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 | 209.023884
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License Number State | IL
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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 | 1143027
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License Number State | TX
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