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General NPI Number Information
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NPI Number | 1639918733
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Entity Type | Organization
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Legal Business Name | EMPOWERED PSYCHIATRY AND WELLNESS PLLC
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 24044 CINCO VILLAGE CENTER BLVD STE 100
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City | KATY
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State | TX
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Zip | 77494-8433
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Country | US
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Telephone | 346-517-7874
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Fax |
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Provider Business Mailing Address
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Address Line | 24044 CINCO VILLAGE BOULEVARD #100 PMB 041524
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | OMOLOLA OLOYEDE
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Credential | NP
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Telephone | 346-517-7874
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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 |
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License Number State |
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