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General NPI Number Information
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NPI Number | 1467821884
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Entity Type | Organization
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Legal Business Name | PRINCESS A. OTENG
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 16 N TIMBER HOLLOW DR APT. 1614
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City | FAIRFIELD
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State | OH
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Zip | 45014-7769
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Country | US
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Telephone | 513-255-1409
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Fax | 513-795-6406
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Provider Business Mailing Address
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Address Line | 16 N TIMBER HOLLOW DR APT. 1614
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City | FAIRFIELD
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State | OH
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Zip | 45014-7769
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Country | US
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Telephone | 513-255-1409
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Fax | 513-795-6406
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MISS PRINCESS A OTENG
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Credential | RN
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Telephone | 513-255-1409
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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 | RN 368601
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License Number State | OH
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