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General NPI Number Information
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NPI Number | 1023772852
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Entity Type | Individual
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Provider Name | HENRY NNAMDI OKORO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 601 E 33RD ST
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City | BALTIMORE
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State | MD
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Zip | 21218-3505
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Country | US
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Telephone | 410-649-4181
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 PECONIC PL
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-5704
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Country | US
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Telephone |
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28317
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License Number State | MD
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