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General NPI Number Information
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NPI Number | 1063496164
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Entity Type | Individual
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Provider Name | BLESSING AKPOFURE M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 10921 CHERRY ST STE 100
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2473
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Country | US
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Telephone | 562-795-5600
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Fax | 562-795-5602
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Provider Business Mailing Address
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Address Line | 210 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-3807
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Country | US
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Telephone | 714-347-1010
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Fax | 714-647-1245
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A75078
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License Number State | CA
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