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General NPI Number Information
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NPI Number | 1760910111
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Entity Type | Individual
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Provider Name | CYRIL C ONYEMAECHI FNP- C
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Gender | Male
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Dates
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Enumeration Date | 05/30/2017
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Last Update Date | 05/30/2017
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Provider Practice Location Address
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Address Line | 8067 W VIRGINIA DR
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City | DALLAS
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State | TX
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Zip | 75237-3767
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Country | US
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Telephone | 214-728-0710
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Fax |
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Provider Business Mailing Address
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Address Line | 1328 LUVERNE DR
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City | WYLIE
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State | TX
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Zip | 75098-8606
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Country | US
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Telephone | 214-232-3077
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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 | AP133967
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License Number State | TX
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