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General NPI Number Information
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NPI Number | 1750730172
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Entity Type | Individual
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Provider Name | JUDITH ACHIENG OKUMU
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Gender | Female
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 12314 JONES RD
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City | HOUSTON
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State | TX
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Zip | 77070-4802
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Country | US
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Telephone | 832-678-8252
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Fax |
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Provider Business Mailing Address
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Address Line | 14134 SUNRISE ARBOR LN
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City | CYPRESS
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State | TX
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Zip | 77429-7724
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Country | US
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Telephone | 832-253-8713
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP130509
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP130509
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License Number State | TX
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