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General NPI Number Information
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NPI Number | 1952190902
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Entity Type | Individual
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Provider Name | JOY ULONGOZI NWOGWUGWU PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 219 LE PHILLIP CT NE
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City | CONCORD
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State | NC
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Zip | 28025-2900
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Country | US
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Telephone | 704-721-5551
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Fax |
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Provider Business Mailing Address
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Address Line | 14116 RORY GLEN LN
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City | CHARLOTTE
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State | NC
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Zip | 28215-7421
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Country | US
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Telephone | 704-712-9891
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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 | 5022095
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License Number State | NC
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