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General NPI Number Information
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NPI Number | 1740109495
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Entity Type | Individual
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Provider Name | NICOLE IHEKWOABA NP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 11590 BARKER CYPRESS RD
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City | CYPRESS
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State | TX
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Zip | 77433-1216
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Country | US
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Telephone | 832-613-5707
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Fax |
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Provider Business Mailing Address
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Address Line | 5414 LINDEN GROVE CT
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City | SUGAR LAND
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State | TX
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Zip | 77479-8800
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Country | US
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Telephone | 832-462-9204
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1227895
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License Number State | TX
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