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General NPI Number Information
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NPI Number | 1043157985
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Entity Type | Organization
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Legal Business Name | RKI PRIMARY CARE AT HOME
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 2685 25TH AVE
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City | FOREST GROVE
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State | OR
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Zip | 97116-3098
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Country | US
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Telephone | 781-971-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 2685 25TH AVE
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City | FOREST GROVE
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State | OR
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Zip | 97116-3098
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Country | US
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Telephone | 781-971-2525
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | UCHECHUKWU EZEDI
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Credential | FNP
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Telephone | 781-971-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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