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General NPI Number Information
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NPI Number | 1902618978
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Entity Type | Individual
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Provider Name | STELLA UZOAMAKA IHESIABA
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Gender | Female
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 9730 WESTOVER HILLS BLVD
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4841
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Country | US
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Telephone | 210-366-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 9847 MARBACH BND
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City | SAN ANTONIO
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State | TX
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Zip | 78245-1699
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Country | US
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Telephone | 210-300-0478
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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 | 1189129
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License Number State | TX
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