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General NPI Number Information
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NPI Number | 1790690485
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Entity Type | Individual
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Provider Name | IVY WANJIRU MWAURA
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 410 MEIJER DR
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City | FLORENCE
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State | KY
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Zip | 41042-5128
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Country | US
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Telephone | 800-343-1609
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Fax |
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Provider Business Mailing Address
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Address Line | 19822 HAWKINS RIDGE LN
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City | RICHMOND
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State | TX
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Zip | 77407-3789
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Country | US
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Telephone | 713-304-3367
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1242762
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 1242762
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License Number State | TX
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