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General NPI Number Information
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NPI Number | 1144959917
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Entity Type | Individual
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Provider Name | OKELUE EDWARDS OKOBI MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1475 W 49TH PLACE HIALEAH
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City | MIAMI
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State | FL
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Zip | 33012
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Country | US
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Telephone | 305-558-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 12218 APACHE TEARS CIR
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City | LAUREL
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State | MD
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Zip | 20708-2847
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Country | US
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Telephone | 240-360-8444
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | P115323
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License Number State | NY
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