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General NPI Number Information
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NPI Number | 1083343768
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Entity Type | Organization
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Legal Business Name | FANI FOUNDATION ORGANIZATION INC
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 1555 E FLAMINGO RD STE 123
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City | LAS VEGAS
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State | NV
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Zip | 89119-5259
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Country | US
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Telephone | 725-325-0052
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70091
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City | LAS VEGAS
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State | NV
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Zip | 89170-0091
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Country | US
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Telephone | 725-325-0052
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ESTHER OKEKE
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Credential |
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Telephone | 725-325-0052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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