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General NPI Number Information
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NPI Number | 1366653420
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Entity Type | Organization
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Legal Business Name | PATRICIA E. NWOKO
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 1107 STATLER BEND DR
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-4933
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Country | US
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Telephone | 512-587-4654
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Fax | 512-990-8013
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Provider Business Mailing Address
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Address Line | 1107 STATLER BEND DR
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-4933
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Country | US
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Telephone | 512-587-4654
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Fax | 512-990-8013
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. AUGUSTINE EMEKA NWOKO
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Credential |
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Telephone | 512-589-3115
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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 | 008324
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License Number State | TX
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