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General NPI Number Information
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NPI Number | 1174247068
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Entity Type | Organization
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Legal Business Name | O'WINNIE LTD CO
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1024 THORNBERRY DR
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City | CRANDALL
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State | TX
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Zip | 75114-1119
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Country | US
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Telephone | 917-612-9341
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 THORNBERRY DR
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City | CRANDALL
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State | TX
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Zip | 75114-1119
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Country | US
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Telephone | 972-850-6167
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WINNIE OBOT
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Credential |
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Telephone | 972-850-6167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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