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General NPI Number Information
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NPI Number | 1801407168
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Entity Type | Individual
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Provider Name | MR. FRANCK ROMUAL KOMBOU SILE
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Gender | Male
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 10/02/2020
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Provider Practice Location Address
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Address Line | 3868 WEST AVE APT E
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City | GREENSBORO
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State | NC
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Zip | 27407-4569
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Country | US
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Telephone | 984-369-4476
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Fax |
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Provider Business Mailing Address
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Address Line | 3868 WEST AVE
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City | GREENSBORO
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State | NC
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Zip | 27407-4349
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Country | US
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Telephone | 984-369-4476
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HC5620
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License Number State | NC
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