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General NPI Number Information
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NPI Number | 1730233982
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Entity Type | Individual
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Provider Name | EGO NINA IBE RNC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 1331 W GRAND PKWY N SUITE 240
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City | KATY
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State | TX
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Zip | 77493-2710
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Country | US
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Telephone | 281-392-2266
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Fax | 281-392-3147
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Provider Business Mailing Address
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Address Line | 1331 W GRAND PKWY N SUITE 240
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City | KATY
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State | TX
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Zip | 77493-2710
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Country | US
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Telephone | 281-392-2266
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Fax | 281-392-3147
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State | TX
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