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General NPI Number Information
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NPI Number | 1003256199
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Entity Type | Individual
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Provider Name | IKECHUKWU ANTHONY IGBO II OTR/L, DR.OT
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Gender | Male
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 8231 CHELSEA BEND CT
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City | HOUSTON
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State | TX
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Zip | 77083-5240
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Country | US
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Telephone | 832-573-1102
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Fax |
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Provider Business Mailing Address
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Address Line | 8231 CHELSEA BEND CT
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City | HOUSTON
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State | TX
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Zip | 77083-5240
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Country | US
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Telephone | 832-573-1102
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 016890
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 113566
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 12397
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 010000929
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT22590
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201012685
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 13901
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 07076
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License Number State | MD
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