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General NPI Number Information
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NPI Number | 1003871658
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Entity Type | Individual
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Provider Name | CATHERINE ENO OKPON ONABAJO M.D,
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Gender | Female
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 1118 W MAIN ST
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City | LEWISVILLE
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State | TX
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Zip | 75067-3426
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Country | US
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Telephone | 972-956-5558
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Fax | 972-956-0578
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Provider Business Mailing Address
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Address Line | 125 KINGSRIDGE DR
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City | COPPELL
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State | TX
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Zip | 75019-2574
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Country | US
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Telephone | 972-745-7072
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Fax | 972-745-3181
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E-12253
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | K1890
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K1890
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License Number State | TX
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