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General NPI Number Information
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NPI Number | 1972539419
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Entity Type | Individual
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Provider Name | PEARL NGOZIKA UME-NWAGBO FNP
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Gender | Female
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 807 UNIVERSITY PARKWAY ROY S NICKS HALL ROOM 160
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City | JOHNSON CITY
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State | TN
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Zip | 37614-7114
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Country | US
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Telephone | 423-439-4225
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Fax | 423-439-4560
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Provider Business Mailing Address
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Address Line | PO BOX 70403 807 UNIVERSITY PARKWAY
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City | JOHNSON CITY
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State | TN
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Zip | 37614-1703
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Country | US
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Telephone | 423-439-4078
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Fax | 423-439-4060
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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 | APN006719
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License Number State | TN
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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 | APN0000006719
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License Number State | TN
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