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General NPI Number Information
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NPI Number | 1932837028
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Entity Type | Individual
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Provider Name | KELECHI VICTOR ETOH PHARMD, MPH
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Gender | Male
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 2600 SAINT MICHAEL DR
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City | TEXARKANA
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State | TX
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Zip | 75503-2372
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Country | US
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Telephone | 469-614-4905
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Fax |
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Provider Business Mailing Address
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Address Line | 3636 STONELEDGE DR APT 1434
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City | TEXARKANA
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State | TX
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Zip | 75503-1156
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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 |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 70790
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License Number State | TX
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