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General NPI Number Information
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NPI Number | 1033037270
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Entity Type | Organization
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Legal Business Name | WURA CARES LLC
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 5704 W PALMAIRE AVE
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City | GLENDALE
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State | AZ
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Zip | 85301-2440
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Country | US
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Telephone | 520-220-7802
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Fax |
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Provider Business Mailing Address
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Address Line | 5704 W PALMAIRE AVE
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City | GLENDALE
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State | AZ
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Zip | 85301-2440
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Country | US
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Telephone | 520-220-7802
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OLUSOLA SAMUEL-OJO
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Credential |
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Telephone | 520-220-7802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number |
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License Number State |
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