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General NPI Number Information
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NPI Number | 1902941123
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Entity Type | Organization
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Legal Business Name | NKECHI AHANOTU
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 2646 SOUTH LOOP W SUITE 355
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City | HOUSTON
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State | TX
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Zip | 77054-2665
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Country | US
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Telephone | 713-218-7099
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Fax | 713-218-6772
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Provider Business Mailing Address
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Address Line | 2646 SOUTH LOOP W SUITE 355
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City | HOUSTON
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State | TX
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Zip | 77054-2665
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Country | US
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Telephone | 713-218-7099
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Fax | 713-218-6772
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NKECHI E AHANOTU-ANIGBOGU
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Credential | R.N., BSN
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Telephone | 713-218-7099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 008197
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License Number State | TX
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