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General NPI Number Information
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NPI Number | 1952952160
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Entity Type | Individual
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Provider Name | IFECHUKWUDENY BISHOP OKWUOYIBO APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/28/2019
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 200 S PARK RD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8592
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Country | US
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Telephone | 932-727-2983
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 S HIGHWAY 69
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City | NEDERLAND
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State | TX
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Zip | 77627-7841
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Country | US
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Telephone | 409-853-1885
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Fax | 866-397-8681
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 883554
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License Number State | TX
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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 | 1000053
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License Number State | TX
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