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General NPI Number Information
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NPI Number | 1619550753
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Entity Type | Individual
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Provider Name | VINCENT EHIGHE OMOLEME
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Gender | Male
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 514 RICHTER LN
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City | RICHMOND
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State | TX
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Zip | 77469-6228
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Country | US
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Telephone | 281-236-9776
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Fax |
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Provider Business Mailing Address
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Address Line | 514 RICHTER LN
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City | RICHMOND
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State | TX
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Zip | 77469-6228
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Country | US
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Telephone | 281-236-9776
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 52561
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License Number State | TX
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