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General NPI Number Information
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NPI Number | 1306053103
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Entity Type | Organization
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Legal Business Name | FAVORITE HEALTH COOPERATION
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7290 HICKORY ST
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City | FRISCO
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State | TX
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Zip | 75034-5309
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Country | US
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Telephone | 972-731-0034
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Fax | 972-731-0041
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Provider Business Mailing Address
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Address Line | 7290 HICKORY ST
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City | FRISCO
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State | TX
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Zip | 75034-5309
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Country | US
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Telephone | 972-731-0034
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GABRIEL OSITA OKOYE
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Credential |
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Telephone | 972-731-0034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0081434
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License Number State | TX
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