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General NPI Number Information
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NPI Number | 1992599617
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Entity Type | Individual
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Provider Name | PRISCA CHINELO OKONKWO NP
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Gender | Female
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1221 W AIRPORT FWY STE 209
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City | IRVING
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State | TX
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Zip | 75062-6209
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Country | US
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Telephone | 214-777-2703
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 KNOLLWOOD RD
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City | WYLIE
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State | TX
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Zip | 75098-0347
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Country | US
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Telephone | 313-646-0544
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F12230769
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License Number State | TX
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