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General NPI Number Information
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NPI Number | 1578321030
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Entity Type | Individual
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Provider Name | JOSHUA AMECHI OKONYE PT, DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 3830 WILCREST DR
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City | HOUSTON
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State | TX
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Zip | 77042-6718
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Country | US
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Telephone | 832-518-0579
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 WESTCREEK LN APT 2312
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City | HOUSTON
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State | TX
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Zip | 77027-3643
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Country | US
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Telephone | 832-518-0579
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40745
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1381567
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License Number State | TX
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