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General NPI Number Information
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NPI Number | 1649134164
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Entity Type | Individual
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Provider Name | NGATI GODFREY JOROH
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Gender | Male
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 2810 N PARHAM RD STE 120
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City | RICHMOND
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State | VA
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Zip | 23294-4422
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Country | US
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Telephone | 804-288-1881
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Fax |
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Provider Business Mailing Address
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Address Line | 11209 SPRINGFIELD DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-1552
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Country | US
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Telephone | 571-477-6603
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024195369
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License Number State | VA
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