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General NPI Number Information
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NPI Number | 1780977942
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Entity Type | Organization
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Legal Business Name | EMMY GENERAL
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 6201 BONHOMME RD #410S
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City | HOUSTON
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State | TX
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Zip | 77036-4365
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Country | US
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Telephone | 281-919-7678
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Fax | 713-513-5558
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Provider Business Mailing Address
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Address Line | 6201 BONHOMME RD #410S
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City | HOUSTON
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State | TX
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Zip | 77036-4365
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Country | US
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Telephone | 281-919-7678
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Fax | 713-513-5558
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. EMEKA OGUDO
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Credential |
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Telephone | 281-919-7678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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