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General NPI Number Information
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NPI Number | 1225959497
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Entity Type | Organization
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Legal Business Name | UMOJA HEALTH SERVICES
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 2110 S MEMORIAL DR STE 2
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City | APPLETON
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State | WI
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Zip | 54915-1409
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Country | US
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Telephone | 920-512-6220
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 S MEMORIAL DR STE 2
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City | APPLETON
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State | WI
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Zip | 54915-1409
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Country | US
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Telephone | 920-512-6220
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | OLIVIER OMBERI
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Credential |
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Telephone | 920-512-6220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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