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General NPI Number Information
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NPI Number | 1639063191
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Entity Type | Individual
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Provider Name | NKECHI VICTORIA NWAGBARA AUD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 6320 SOUTHWEST BLVD STE 200
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City | BENBROOK
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State | TX
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Zip | 76109-6961
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Country | US
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Telephone | 817-766-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 3711 DR MLK JR DR APT 3404
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City | ARLINGTON
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State | TX
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Zip | 76014-4347
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Country | US
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Telephone | 914-960-7925
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 81785
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License Number State | TX
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