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General NPI Number Information
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NPI Number | 1033169834
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Entity Type | Individual
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Provider Name | DR. AUSTIN U OBIKA
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 865 W 32ND ST
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City | YUMA
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State | AZ
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Zip | 85364-7934
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Country | US
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Telephone | 706-284-1464
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Fax | 706-284-1464
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Provider Business Mailing Address
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Address Line | 865 W 32ND ST
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City | YUMA
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State | AZ
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Zip | 85364-7934
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Country | US
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Telephone | 706-284-1464
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Fax | 706-284-1464
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5095
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-17313
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License Number State | AZ
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