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General NPI Number Information
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NPI Number | 1003687757
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Entity Type | Organization
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Legal Business Name | ONYEKA TEFARI
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 8755 AERO DR STE 225
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City | SAN DIEGO
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State | CA
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Zip | 92123-1750
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Country | US
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Telephone | 619-514-6660
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Fax |
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Provider Business Mailing Address
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Address Line | 8755 AERO DR STE 225
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City | SAN DIEGO
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State | CA
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Zip | 92123-1750
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Country | US
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Telephone | 619-514-6660
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERNESTINE NEELY
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Credential |
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Telephone | 619-514-6660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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