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General NPI Number Information
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NPI Number | 1902217656
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Entity Type | Individual
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Provider Name | FRIDAY OGHENERO IROROBEJE NP
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Gender | Male
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 821 N NELLIS BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89110-5339
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Country | US
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Telephone | 702-438-4003
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Fax | 702-438-0555
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Provider Business Mailing Address
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Address Line | PO BOX 98978
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City | LAS VEGAS
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State | NV
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Zip | 89193-8978
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Country | US
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Telephone | 702-216-3346
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Fax | 702-671-6883
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN001681
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License Number State | NV
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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 | APRN001681
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN001681
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN001681
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License Number State | NV
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