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General NPI Number Information
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NPI Number | 1457246241
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Entity Type | Organization
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Legal Business Name | OMAVIDA CARE LLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1201 E SCHUSTER AVE BLDG 7
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City | EL PASO
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State | TX
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Zip | 79902-4660
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Country | US
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Telephone | 915-637-9338
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 E SCHUSTER AVE BLDG 7
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City | EL PASO
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State | TX
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Zip | 79902-4660
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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 | CEO
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Name | OGECHIKA ALOZIE
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Credential | MD
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Telephone | 915-222-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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