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General NPI Number Information
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NPI Number | 1750967261
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Entity Type | Individual
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Provider Name | TAI AYOOLA UGBE PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 7877 WILLOW CHASE BLVD
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City | HOUSTON
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State | TX
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Zip | 77070-6001
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Country | US
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Telephone | 832-869-4818
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Fax |
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Provider Business Mailing Address
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Address Line | 841 CASLON WAY APT 208
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City | HYATTSVILLE
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State | MD
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Zip | 20785-6001
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Country | US
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Telephone | 951-251-9836
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R226582
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License Number State | DC
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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 | 1098932
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License Number State | TX
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