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General NPI Number Information
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NPI Number | 1699299750
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Entity Type | Individual
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Provider Name | NANCY ANYANWU
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 12586 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77077-5865
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Country | US
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Telephone | 713-804-5963
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Fax |
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Provider Business Mailing Address
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Address Line | 2610 N MASON RD
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City | KATY
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State | TX
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Zip | 77449
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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 |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP134505
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP134505
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License Number State | TX
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