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General NPI Number Information
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NPI Number | 1114299567
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Entity Type | Organization
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Legal Business Name | ELKHART HEALTHCARE INC.
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 7322 SOUTHWEST FWY #1070
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City | HOUSTON
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State | TX
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Zip | 77074-2010
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Country | US
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Telephone | 281-822-1526
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Fax | 281-822-1524
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Provider Business Mailing Address
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Address Line | 7322 SOUTHWEST FWY #1070
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City | HOUSTON
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State | TX
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Zip | 77074-2010
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Country | US
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Telephone | 281-822-1526
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Fax | 281-822-1524
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. YEWANDE A ODUKOYA
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Credential | PT
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Telephone | 281-822-1526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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