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General NPI Number Information
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NPI Number | 1477861037
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Entity Type | Individual
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Provider Name | MR. FIDELIS OKOYE
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Gender | Male
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 7457 HARWIN DR SUITE 213
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City | HOUSTON
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State | TX
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Zip | 77036-2018
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Country | US
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Telephone | 281-888-5076
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Fax |
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Provider Business Mailing Address
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Address Line | 14930 SUGAR PEAK DR
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City | SUGAR LAND
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State | TX
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Zip | 77498-5373
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Country | US
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Telephone | 713-894-4455
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Fax | 713-456-3494
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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