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General NPI Number Information
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NPI Number | 1851406573
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Entity Type | Individual
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Provider Name | ANGELA I OKOTIE-EBOH N.P
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 2420 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77002-9114
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Country | US
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Telephone | 832-831-3651
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Fax |
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Provider Business Mailing Address
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Address Line | 16520 STEINHAGEN RD
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City | CYPRESS
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State | TX
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Zip | 77429-7173
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Country | US
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Telephone | 281-687-3413
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 643307
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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 | 2011021217
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License Number State | TX
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