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General NPI Number Information
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NPI Number | 1962259523
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Entity Type | Individual
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Provider Name | MARYJANE OLUCHI DURUJI FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/02/2024
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 10103 FONDREN RD STE 380
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City | HOUSTON
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State | TX
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Zip | 77096-4661
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Country | US
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Telephone | 713-771-8570
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Fax | 713-772-8670
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Provider Business Mailing Address
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Address Line | 10103 FONDREN RD STE 380
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City | HOUSTON
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State | TX
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Zip | 77096-4661
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Country | US
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Telephone | 713-771-8570
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Fax | 713-772-8670
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F04240345
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License Number State | TX
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