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General NPI Number Information
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NPI Number | 1356095814
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Entity Type | Individual
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Provider Name | DINAH AWUOR OTIENO
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Gender | Female
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 5850 E LOVERS LN
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City | DALLAS
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State | TX
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Zip | 75206-2902
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Country | US
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Telephone | 214-278-6378
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Fax |
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Provider Business Mailing Address
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Address Line | 10309 RED ELM RD
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City | DALLAS
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State | TX
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Zip | 75243-5130
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 221787
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License Number State | TX
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