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General NPI Number Information
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NPI Number | 1356424121
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Entity Type | Organization
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Legal Business Name | AWODOR G. OKO
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/19/2011
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Provider Practice Location Address
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Address Line | 6201 BONHOMME RD STE 290-NN
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City | HOUSTON
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State | TX
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Zip | 77036-4365
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Country | US
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Telephone | 713-974-3887
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Fax | 713-974-3250
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Provider Business Mailing Address
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Address Line | 6201 BONHOMME RD STE 290-NN
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City | HOUSTON
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State | TX
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Zip | 77036-4365
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Country | US
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Telephone | 713-974-3887
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Fax | 713-974-3250
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. AWODOR GABRIEL OKO
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Credential |
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Telephone | 713-974-3887
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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 | 0077879
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License Number State | TX
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