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NPI Code Detail

MEDICARE: MR. ONOISEWEALU ORHUARE OSUNBOR

MEDICARE: MR. ONOISEWEALU ORHUARE OSUNBOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2332B00000XDurable Medical Equipment & Medical Supplies
3101Y00000XCounselor

General Provider Information

NPI Number : 1013070713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ONOISEWEALU ORHUARE OSUNBOR
Provider Business Mailing Address
First Line : 5820 DIX ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-6965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5820 DIX ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-6965
Country : US
Telephone Number : 202-547-3870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 09/19/2024

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Directions to “ MR. ONOISEWEALU ORHUARE OSUNBOR ” Practice Location

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