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General NPI Number Information
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NPI Number | 1821674961
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Entity Type | Organization
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Legal Business Name | MERCIE HEALTH LLC
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 25031 WESTHEIMER PKWY STE 500
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City | KATY
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State | TX
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Zip | 77494-7317
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Country | US
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Telephone | 832-562-0553
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Fax | 833-907-2370
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Provider Business Mailing Address
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Address Line | 25031 WESTHEIMER PKWY STE 500
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City | KATY
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State | TX
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Zip | 77494-7317
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Country | US
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Telephone | 832-562-0553
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Fax | 833-907-2370
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Authorized Official
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Title or Position | NURSE PRACTITIONER/CEO
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Name | SYLVIA UDOKORO NWAKANMA
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Credential | DNP
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Telephone | 832-404-2957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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