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NPI Code Detail

MEDICARE: DINAH AWUOR OTIENO

MEDICARE:   DINAH AWUOR OTIENO
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
1164W00000XLicensed Practical Nurse221787TX

General Provider Information

NPI Number : 1356095814
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINAH AWUOR OTIENO
Provider Business Mailing Address
First Line : 10309 RED ELM RD
Second Line :
City : DALLAS
State : TX
Zip : 75243-5130
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5850 E LOVERS LN
Second Line :
City : DALLAS
State : TX
Zip : 75206-2902
Country : US
Telephone Number : 214-278-6378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2022
Last Update Date : 02/03/2022

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Directions to “ DINAH AWUOR OTIENO ” Practice Location

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