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General NPI Number Information
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NPI Number | 1144056268
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Entity Type | Individual
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Provider Name | CORDELIA OGOCHUKWU OKAFOR
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Gender | Female
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 1804 E 55TH ST # 306
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City | CLEVELAND
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State | OH
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Zip | 44103-3602
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Country | US
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Telephone | 845-596-4335
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Fax |
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Provider Business Mailing Address
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Address Line | 25300 ROCKSIDE RD APT 306
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146-1914
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Country | US
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Telephone | 845-596-4335
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 187256
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License Number State | OH
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