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General NPI Number Information
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NPI Number | 1891263190
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Entity Type | Individual
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Provider Name | JOY UGONMA EKENGA FNP
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Gender | Female
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 02/02/2025
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Provider Practice Location Address
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Address Line | 7220 N LINDBERGH BLVD # 200
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City | HAZELWOOD
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State | MO
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Zip | 63042-2019
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Country | US
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Telephone | 314-249-6100
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Fax | 314-227-1483
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Provider Business Mailing Address
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Address Line | 1240 SAINT PATRICE LN
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City | FLORISSANT
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State | MO
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Zip | 63031-7926
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Country | US
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Telephone | 314-922-3128
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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 | 209020019
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2018031756
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License Number State | MO
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