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General NPI Number Information
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NPI Number | 1881226793
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Entity Type | Individual
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Provider Name | TONIA MICHELLE AJAMU APRN
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Gender | Female
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Dates
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Enumeration Date | 02/08/2020
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2800 E TEXAS HIGHWAY 114 SUITE 350
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City | TROPHY CLUB
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State | TX
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Zip | 76262-5033
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Country | US
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Telephone | 855-204-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 3728 WASHINGTON DR
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City | FRISCO
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State | TX
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Zip | 75034-6340
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Country | US
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Telephone | 214-973-4552
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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 | 258747
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License Number State | AZ
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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 | AP144300
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License Number State | TX
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