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General NPI Number Information
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NPI Number | 1962155077
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Entity Type | Individual
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Provider Name | JENNIFER ERINMA UDEOGU MD
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Gender | Female
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 6621A FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2303
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Country | US
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Telephone | 832-824-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 6621 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2358
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Country | US
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Telephone | 612-626-3761
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | V8421
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 85087-20
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License Number State | WI
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