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General NPI Number Information
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NPI Number | 1073021374
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Entity Type | Individual
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Provider Name | NKIRUKA OKOYECHIRA DNP
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Gender | Female
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Dates
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Enumeration Date | 01/20/2018
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 345 SAINT PAUL ST
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City | BALTIMORE
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State | MD
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Zip | 21202-2123
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Country | US
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Telephone | 410-332-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 11050 RESORT RD STE 209
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2083
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Country | US
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Telephone | 646-785-1692
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F340874-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R237965
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R237965
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License Number State | MD
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