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General NPI Number Information
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NPI Number | 1750821104
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Entity Type | Individual
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Provider Name | IZUCHUKWU MCIVER EMEJULU PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1251 ELBOWOODS LOOP
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City | NEW TOWN
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State | ND
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Zip | 58763
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Country | US
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Telephone | 701-627-4750
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 LAKE POINTE PKWY STE 104
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City | SUGAR LAND
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State | TX
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Zip | 77478-4077
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Country | US
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Telephone | 844-824-8775
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 803843
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP133488
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License Number State | TX
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