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General NPI Number Information
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NPI Number | 1720895584
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Entity Type | Individual
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Provider Name | LETISHA M ONYEANUSI
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 121 BECKS WOODS DR STE 100
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City | BEAR
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State | DE
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Zip | 19701-3853
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Country | US
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Telephone | 302-261-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 121 BECKS WOODS DR STE 100
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City | BEAR
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State | DE
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Zip | 19701-3853
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Country | US
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Telephone | 302-261-5600
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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 | LG-0013018
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License Number State | DE
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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 | LG0013018
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License Number State | DE
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