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General NPI Number Information
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NPI Number | 1891033221
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Entity Type | Individual
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Provider Name | AKPANA INGWU LPN
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Gender | Female
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | CREEDMOOR PSYCHIATRIC CENTER 79-25 WINCHESTER BLVD
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-2199
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Country | US
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Telephone | 718-264-4137
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Fax |
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Provider Business Mailing Address
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Address Line | 13031 223RD ST
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City | LAURELTON
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State | NY
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Zip | 11413-1243
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Country | US
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Telephone | 347-605-3901
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 312542
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 779569
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License Number State | NY
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