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General NPI Number Information
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NPI Number | 1639342074
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Entity Type | Individual
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Provider Name | INYENE ESSIEN UMOREN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 3000 JOE DIMAGGIO BLVD STE 60
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City | ROUND ROCK
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State | TX
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Zip | 78665-3996
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Country | US
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Telephone | 727-398-6661
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Fax |
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Provider Business Mailing Address
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Address Line | 6804 CECELIA DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-4935
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Country | US
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Telephone | 855-232-0644
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Fax | 888-546-0488
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 061363
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME 105037
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.135772
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | ME 105037
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License Number State | FL
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