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General NPI Number Information
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NPI Number | 1356611396
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Entity Type | Organization
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Legal Business Name | CYRIL C.OBI,INC
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 8640 MARY CT
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City | WAXAHACHIE
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State | TX
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Zip | 75167-6006
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Country | US
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Telephone | 972-576-4916
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Fax |
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Provider Business Mailing Address
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Address Line | 8640 MARY CT
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City | WAXAHACHIE
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State | TX
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Zip | 75167-6006
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Country | US
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Telephone | 972-576-4916
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CYRIL CHIDI OBI
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Credential | MD
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Telephone | 972-576-4916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 313
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License Number State | TX
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