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General NPI Number Information
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NPI Number | 1366835001
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Entity Type | Organization
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Legal Business Name | OMO CRAFTS GLOBAL
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 580 GRANT AVE
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City | NORTH BALDWIN
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State | NY
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Zip | 11510-1329
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Country | US
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Telephone | 484-606-6135
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Fax |
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Provider Business Mailing Address
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Address Line | 119 E JOHNSON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19144-1614
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Country | US
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Telephone | 404-606-6135
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. OGONNA ANYABOLU
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Credential |
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Telephone | 484-606-6135
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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 |
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License Number State |
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