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General NPI Number Information
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NPI Number | 1104428119
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Entity Type | Individual
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Provider Name | CHIDIEBERE BLESSING OKE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 2121 HIGHWAY 146 BYP
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City | LIBERTY
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State | TX
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Zip | 77575-6000
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Country | US
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Telephone | 936-336-2257
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21
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City | FULSHEAR
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State | TX
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Zip | 77441-0021
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Country | US
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Telephone | 832-643-9353
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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 | 49267
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License Number State | TX
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