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General NPI Number Information
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NPI Number | 1295245744
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Entity Type | Organization
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Legal Business Name | GLORY IN WEALTH HOME CARE
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 10/10/2017
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Provider Practice Location Address
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Address Line | 8211 E REGAL PL STE 100
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City | TULSA
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State | OK
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Zip | 74133-7167
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Country | US
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Telephone | 918-262-0805
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Fax |
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Provider Business Mailing Address
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Address Line | 8211 E REGAL PL STE 100
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City | TULSA
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State | OK
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Zip | 74133-7167
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Country | US
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Telephone | 918-262-0805
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | OLANIYI SAMUEL AJILORE
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Credential |
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Telephone | 918-262-0805
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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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