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General NPI Number Information
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NPI Number | 1750527388
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Entity Type | Organization
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Legal Business Name | DOXA, LLC
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Dates
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Enumeration Date | 01/03/2009
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Last Update Date | 01/03/2009
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Provider Practice Location Address
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Address Line | 9900 WESTPARK DR SUITE 214
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City | HOUSTON
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State | TX
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Zip | 77063-5277
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Country | US
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Telephone | 713-278-1680
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Fax | 713-337-5038
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Provider Business Mailing Address
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Address Line | 9900 WESTPARK DR SUITE 214
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City | HOUSTON
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State | TX
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Zip | 77063-5277
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Country | US
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Telephone | 713-278-1680
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Fax | 713-337-5038
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. ODOEMELEM C OKEZIE
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Credential |
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Telephone | 713-885-3635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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