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NPI 1184065138

NPI 1184065138 : SAMSON EBAI AWOH OTR : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1184065138
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    Entity Type          |    Individual 
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    Provider Name        |    SAMSON EBAI AWOH OTR
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/07/2013
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    Last Update Date     |    01/26/2026
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Provider Practice Location Address
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    Address Line         |    6201 BONHOMME RD STE 268N 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77036-4376
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    Country              |    US
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    Telephone            |    713-665-8655
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    Fax                  |    713-665-1938
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Provider Business Mailing Address
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    Address Line         |    10103 FONDREN RD STE 390 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77096-4556
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    Country              |    US
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    Telephone            |    713-232-9131
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    Fax                  |    800-340-4982
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    115084
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    License Number State |    TX
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