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General NPI Number Information
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NPI Number | 1164886339
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Entity Type | Organization
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Legal Business Name | ONEKEH OBEDEKAH
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 5811 N AMERICAN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-1862
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Country | US
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Telephone | 215-410-6892
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Fax |
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Provider Business Mailing Address
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Address Line | 5811 N AMERICAN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-1862
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Country | US
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Telephone | 215-410-6892
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Fax |
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Authorized Official
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Title or Position | NURSE
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Name | MS. ONEKEH M OBEDEKAH
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Credential | LPN
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Telephone | 215-410-6892
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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 | 3251101
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License Number State | NY
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