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General NPI Number Information
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NPI Number | 1861944993
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Entity Type | Individual
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Provider Name | MR. EMMANUEL NDUBUISI NWABUDE
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Gender | Male
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 14335 TORREY CHASE BLVD
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City | HOUSTON
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State | TX
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Zip | 77014-1634
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Country | US
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Telephone | 281-631-0081
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Fax |
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Provider Business Mailing Address
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Address Line | 502 S POST OAK LN APT 232
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City | HOUSTON
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State | TX
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Zip | 77056-1448
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Country | US
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Telephone | 580-736-0343
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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 | AP132370
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License Number State | TX
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