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General NPI Number Information
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NPI Number | 1861860702
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Entity Type | Individual
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Provider Name | OKWUDIRINNA ANITA BABALOLA
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Gender | Female
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 8118 FRY RD STE 803
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City | CYPRESS
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State | TX
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Zip | 77433-7850
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Country | US
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Telephone | 281-215-3595
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Fax |
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Provider Business Mailing Address
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Address Line | 5119 TERNBERRY FOREST LN
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City | KATY
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State | TX
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Zip | 77449-6961
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Country | US
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Telephone | 832-520-6898
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 39293
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 8813
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License Number State | TX
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