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General NPI Number Information
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NPI Number | 1821499898
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Entity Type | Organization
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Legal Business Name | CHIKEZIE CHRISTOPHER OKORORIE
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 11905 SMITHTON AVENUE
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City | MCKINNEY
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State | TX
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Zip | 75071-6915
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Country | US
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Telephone | 972-207-6609
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Fax | 469-453-3474
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Provider Business Mailing Address
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Address Line | 11905 SMITHTON AVENUE
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City | MCKINNEY
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State | TX
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Zip | 75071-6915
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. IFEYINWA OKORORIE
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Credential |
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Telephone | 972-207-6609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 001020084
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License Number State | TX
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