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General NPI Number Information
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NPI Number | 1972312338
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Entity Type | Organization
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Legal Business Name | NHCG TRICHOLOGY LLC
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 23161 MORTON RANCH ROAD, SUITE 200
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City | KATY
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State | TX
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Zip | 77449-7744
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Country | US
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Telephone | 346-646-4296
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Fax |
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Provider Business Mailing Address
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Address Line | 17418 WINFIELD SQ
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City | RICHMOND
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State | TX
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Zip | 77407-8560
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Country | US
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Telephone | 346-874-8008
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DABOJU DAGOGO-JACK
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Credential |
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Telephone | 346-646-4296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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