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General NPI Number Information
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NPI Number | 1992207930
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Entity Type | Individual
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Provider Name | FANNY EGBE NNABUIKE FNP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 6315 GULFTON ST
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City | HOUSTON
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State | TX
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Zip | 77081-1107
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Country | US
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Telephone | 469-257-3500
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Fax | 713-457-0945
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Provider Business Mailing Address
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Address Line | 11665 HIGHWAY 6 SOUTH, SUGARLAND TEXAS
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City | HOUSTON
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State | TX
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Zip | 77478
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Country | US
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Telephone | 713-909-0407
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | F10171122
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP136186
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP136186
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License Number State | TX
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