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General NPI Number Information
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NPI Number | 1598925216
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Entity Type | Organization
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Legal Business Name | SOCIAL SERVICE OFFICES OF ANITA ONUGHA
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 1402 CORINTH ST SUITE #114
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City | DALLAS
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State | TX
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Zip | 75215-5708
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Country | US
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Telephone | 214-690-6532
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Fax | 214-421-2766
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Provider Business Mailing Address
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Address Line | PO BOX 165717
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City | IRVING
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State | TX
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Zip | 75016-5717
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Country | US
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Telephone | 214-690-6532
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ANITA J ONUGHA
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Credential | LBSW
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Telephone | 214-690-6532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 36644
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License Number State | TX
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