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General NPI Number Information
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NPI Number | 1053508242
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Entity Type | Individual
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Provider Name | AUBREY S. OKPAKU M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 10 CORDAGE PARK CIR STE 227
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City | PLYMOUTH
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State | MA
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Zip | 02360-7318
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Country | US
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Telephone | 508-830-6991
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Fax | 508-830-6993
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Provider Business Mailing Address
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Address Line | 10 CORDAGE PARK CIR STE 227
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City | PLYMOUTH
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State | MA
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Zip | 02360-7318
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Country | US
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Telephone | 508-830-6991
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Fax | 508-830-6993
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 232845
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | MD440154
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License Number State | PA
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