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General NPI Number Information
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NPI Number | 1750066817
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Entity Type | Individual
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Provider Name | CYNTHIA O OBIOFUMA
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Gender | Female
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 333 WEST LOOP N STE 250
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City | HOUSTON
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State | TX
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Zip | 77024-1751
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Country | US
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Telephone | 713-690-1991
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Fax | 713-690-1980
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Provider Business Mailing Address
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Address Line | 5634 JAMES LANDING DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-7073
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Country | US
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Telephone | 405-317-2255
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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 | 1048844
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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 | 1048844
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License Number State | TX
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