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General NPI Number Information
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NPI Number | 1104702703
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Entity Type | Individual
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Provider Name | EMELINE SEWOYEBAA OKAFOR
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2732 TROLLIE LN
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City | JACKSONVILLE
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State | FL
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Zip | 32211-3833
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Country | US
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Telephone | 904-289-1254
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Fax |
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Provider Business Mailing Address
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Address Line | 12177 LAKE FERN DR E, JACKSONVILLE FLORIDA
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City | NOT HISPANIC/LATINO/LATINA
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State | FL
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Zip | 32258
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Country | US
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Telephone | 904-343-5987
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Fax | 904-343-5987
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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 | 11041532
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License Number State | FL
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