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General NPI Number Information
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NPI Number | 1184361453
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Entity Type | Individual
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Provider Name | EMUESIRI CYNTHIA ODUDU RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 8459 BRYCE CT
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55076-5142
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Country | US
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Telephone | 507-401-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 8459 BRYCE CT
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55076-5142
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Country | US
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Telephone | 507-401-0100
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Fax |
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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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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2470429
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License Number State | MN
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