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General NPI Number Information
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NPI Number | 1053255976
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Entity Type | Individual
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Provider Name | AMINAT NWAONUMAH DRPH, RBT
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 3209 W SMITH VALLEY RD
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City | GREENWOOD
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State | IN
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Zip | 46142-8495
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Country | US
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Telephone | 463-203-1411
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Fax |
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Provider Business Mailing Address
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Address Line | 5021 CLOVEDALE DR
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City | WOODBURN
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State | IN
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Zip | 46797-9633
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Country | US
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Telephone | 912-531-5153
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-26-523987
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License Number State | IN
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