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General NPI Number Information
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NPI Number | 1871315564
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Entity Type | Individual
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Provider Name | NKEIRUKA ANN OGBONNA DNP, CNP, FNP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 1301 33RD ST S
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City | SAINT CLOUD
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State | MN
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Zip | 56301-9604
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Country | US
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Telephone | 320-251-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 16TH AVE SE
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City | SAINT CLOUD
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State | MN
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Zip | 56304-8555
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Country | US
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Telephone | 320-224-8617
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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 | 12228
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License Number State | MN
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