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General NPI Number Information
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NPI Number | 1215366224
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Entity Type | Organization
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Legal Business Name | MEDICAL WONDERS HOME HEALTH CARE
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Dates
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Enumeration Date | 11/11/2013
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Last Update Date | 11/11/2013
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Provider Practice Location Address
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Address Line | 10333 HARWIN DR SUITE 677
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City | HOUSTON
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State | TX
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Zip | 77036-1545
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Country | US
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Telephone | 956-342-9091
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Fax | 956-630-6142
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Provider Business Mailing Address
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Address Line | PO BOX 5475
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City | MCALLEN
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State | TX
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Zip | 78502-5475
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Country | US
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Telephone | 956-342-9091
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Fax | 956-630-6142
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Authorized Official
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Title or Position | OWNER
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Name | DR. MACAULAY AIGBE OJEAGA SR.
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Credential | M.D.
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Telephone | 956-342-9091
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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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