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General NPI Number Information
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NPI Number | 1962875039
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Entity Type | Individual
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Provider Name | EMEM LYDIA UMOH ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/11/2015
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 10511 GOLF COURSE RD NW STE 204
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-5917
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Country | US
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Telephone | 505-232-1100
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Fax | 505-232-1121
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Provider Business Mailing Address
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Address Line | PO BOX 26028
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-6028
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Country | US
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Telephone | 505-262-7215
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Fax | 505-232-1627
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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 | ARNP9214513
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License Number State | FL
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