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General NPI Number Information
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NPI Number | 1144520594
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Entity Type | Individual
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Provider Name | VINCENT AWOSIKA
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Gender | Male
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 12134 BEECHNUT ST
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City | HOUSTON
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State | TX
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Zip | 77072-4830
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Country | US
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Telephone | 141-432-4824
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Fax |
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Provider Business Mailing Address
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Address Line | 5644 N 78TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53218-2145
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Country | US
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Telephone | 414-324-8244
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Fax | 414-463-4176
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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