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General NPI Number Information
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NPI Number | 1104761766
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Entity Type | Organization
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Legal Business Name | COPERGRINE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 13100 WORTHAM CENTER DR FL 3
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City | HOUSTON
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State | TX
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Zip | 77065-5625
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Country | US
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Telephone | 832-205-8404
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Fax |
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Provider Business Mailing Address
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Address Line | 13100 WORTHAM CENTER DR FL 3
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City | HOUSTON
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State | TX
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Zip | 77065-5625
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Country | US
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Telephone | 832-205-8404
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Fax |
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Authorized Official
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Title or Position | BUSINESS DEVELOPEMENT MANAGER
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Name | CHUKWUEBUKA FRANCIS AGUDOSI
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Credential |
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Telephone | 202-460-4744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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