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General NPI Number Information
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NPI Number | 1982466520
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Entity Type | Individual
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Provider Name | ELVIS ONDIEKI
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Gender | Male
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1330 SAN PEDRO DR NE STE 205F
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6749
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Country | US
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Telephone | 214-598-8634
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Fax | 949-864-3636
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Provider Business Mailing Address
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Address Line | 1330 SAN PEDRO DR NE STE 205F
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6749
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Country | US
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Telephone | 505-595-1200
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Fax | 949-864-3634
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 81978
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License Number State | NM
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