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General NPI Number Information
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NPI Number | 1114338738
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Entity Type | Individual
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Provider Name | WISDOM D AKPAKA DDS
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Gender | Male
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 01/04/2015
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Provider Practice Location Address
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Address Line | 930 BOARDMAN POLAND RD
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City | BOARDMAN
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State | OH
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Zip | 44512-5117
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Country | US
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Telephone | 330-629-8884
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Fax | 216-584-1070
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Provider Business Mailing Address
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Address Line | 4078 ROTTERDAM PASS
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City | HAMPTON
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State | GA
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Zip | 30228-6077
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Country | US
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Telephone | 678-650-2198
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.024305
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License Number State | OH
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