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General NPI Number Information
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NPI Number | 1558440792
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Entity Type | Organization
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Legal Business Name | PATRICK OGBEIDE
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 3002 WESTSHORE DR
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City | ROWLETT
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State | TX
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Zip | 75088-5695
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Country | US
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Telephone | 214-725-5080
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Fax | 469-366-7699
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Provider Business Mailing Address
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Address Line | 3002 WESTSHORE DR
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City | ROWLETT
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State | TX
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Zip | 75088-5695
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Country | US
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Telephone | 214-725-5080
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Fax | 469-366-7699
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FELIX O OGBEIDE
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Credential |
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Telephone | 214-725-5080
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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 |
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License Number State |
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