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General NPI Number Information
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NPI Number | 1649892886
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Entity Type | Individual
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Provider Name | IFEANYI OHIAERI PMHNP
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Gender | Male
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 8080 CREEKBEND DR
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City | HOUSTON
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State | TX
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Zip | 77071-1538
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Country | US
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Telephone | 713-231-8428
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Fax |
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Provider Business Mailing Address
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Address Line | 12337 JONES RD
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City | HOUSTON
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State | TX
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Zip | 77070-4800
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Country | US
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Telephone | 832-519-8791
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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 | 1133304
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License Number State | TX
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