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General NPI Number Information
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NPI Number | 1205452315
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Entity Type | Organization
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Legal Business Name | AFFECTION HEALTHCARE LLC
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 1641 NORTH RIPON ROAD
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City | RIPON
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State | CA
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Zip | 95366
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Country | US
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Telephone | 307-274-4066
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Fax |
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Provider Business Mailing Address
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Address Line | 1641 N RIPON RD APT 306
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City | RIPON
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State | CA
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Zip | 95366-9817
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Country | US
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Telephone | 714-654-4206
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMAECHI GEORGE OZOR
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Credential | FNP-BC
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Telephone | 714-654-4206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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