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General NPI Number Information
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NPI Number | 1497004576
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Entity Type | Organization
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Legal Business Name | MICAH HEALTHCARE INCOPORATED
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 2727 SYNOTT ROAD 806
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City | HOUSTON
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State | TX
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Zip | 77082
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Country | US
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Telephone | 281-809-8019
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Fax | 281-809-8019
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Provider Business Mailing Address
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Address Line | 14406 MANORBIER LN
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City | SUGAR LAND
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State | TX
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Zip | 77498-9768
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Country | US
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Telephone | 845-323-9201
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Fax | 281-933-5557
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Authorized Official
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Title or Position | SUPERVISING NURSE
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Name | MRS. PATRICIA A OBIONWU
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Credential | RN,CNM
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Telephone | 281-809-8019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP119623
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License Number State | TX
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