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General NPI Number Information
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NPI Number | 1922318344
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Entity Type | Individual
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Provider Name | VIVIAN NGOZI ELEGE
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Gender | Female
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 16325 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77082-1233
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Country | US
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Telephone | 346-270-3648
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Fax | 713-804-9443
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Provider Business Mailing Address
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Address Line | 16325 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77082-1233
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Country | US
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Telephone | 713-820-3543
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Fax | 832-451-6898
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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 | AP128980
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License Number State | TX
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