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General NPI Number Information
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NPI Number | 1033536065
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Entity Type | Individual
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Provider Name | DANIEL OSUAGWU
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Gender | Male
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 10103 FONDREN RD SUIT #460
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City | HOUSTON
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State | TX
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Zip | 77096-4556
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Country | US
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Telephone | 713-773-1066
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Fax | 713-773-0445
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Provider Business Mailing Address
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Address Line | 10103 FONDREN RD SUIT #460
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City | HOUSTON
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State | TX
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Zip | 77096-4556
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Country | US
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Telephone | 713-773-1066
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Fax | 713-773-0445
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 0006749
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 006749
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License Number State | TX
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