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General NPI Number Information
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NPI Number | 1750858809
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Entity Type | Individual
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Provider Name | ABIOLA AWOBONA MS, RD, LD, CDCES
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Gender | Female
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Dates
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Enumeration Date | 10/26/2018
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 5420 DASHWOOD DR STE 301
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City | HOUSTON
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State | TX
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Zip | 77081-5360
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Country | US
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Telephone | 832-578-0726
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Fax |
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Provider Business Mailing Address
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Address Line | 10750 BARKER CYPRESS RD STE 104
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City | CYPRESS
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State | TX
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Zip | 77433-2282
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Country | US
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Telephone | 832-271-6796
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86055961
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License Number State | TX
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