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General NPI Number Information
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NPI Number | 1033447628
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Entity Type | Individual
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Provider Name | MR. ADOLPHUS E ABAKWUE
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Gender | Male
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 1060 W CAMP WISDOM RD
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City | DALLAS
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State | TX
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Zip | 75232-3536
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Country | US
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Telephone | 972-228-6738
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 GLENCOE DR
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City | GLENN HEIGHTS
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State | TX
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Zip | 75154-8692
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Country | US
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Telephone | 456-337-1592
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28244
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License Number State | TX
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