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General NPI Number Information
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NPI Number | 1215851654
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Entity Type | Organization
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Legal Business Name | OTUGUOR MEDICAL ASSOCIATES DBA REHOBOTH FAMILY MEDICAL CARE
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 305 W SPRING CREEK PKWY STE 101
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City | PLANO
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State | TX
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Zip | 75023-4655
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Country | US
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Telephone | 678-462-7363
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Fax | 678-462-7363
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Provider Business Mailing Address
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Address Line | 2702 CAPITOL PL
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City | MELISSA
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State | TX
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Zip | 75454-9799
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Country | US
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Telephone | 678-462-7363
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Fax | 678-462-7363
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Authorized Official
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Title or Position | MD
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Name | DR. AKPOMUDIARE SAMUEL OTUGUOR
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Credential | OTUGUOR
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Telephone | 678-462-7363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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