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General NPI Number Information
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NPI Number | 1972631125
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Entity Type | Organization
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Legal Business Name | OZIK HOME CARE INC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 3470 HAMPTON AVE STE 103
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City | SAINT LOUIS
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State | MO
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Zip | 63139-1946
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Country | US
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Telephone | 314-454-1219
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Fax | 314-454-1382
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Provider Business Mailing Address
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Address Line | 3470 HAMPTON AVE STE 103
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City | SAINT LOUIS
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State | MO
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Zip | 63139-1946
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Country | US
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Telephone | 314-454-1219
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Fax | 314-454-1382
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ISAAC ONYEMA
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Credential |
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Telephone | 314-454-1219
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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 | 795-1HH
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 774
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License Number State | MO
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