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General NPI Number Information
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NPI Number | 1154636306
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Entity Type | Organization
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Legal Business Name | OROKI FAMILY HEALTH CLINIC, PA
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 12805 CULLEN BLVD STE E
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City | HOUSTON
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State | TX
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Zip | 77047
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Country | US
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Telephone | 281-397-3799
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Fax | 281-397-3798
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Provider Business Mailing Address
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Address Line | 12805 CULLEN BLVD STE E
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City | HOUSTON
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State | TX
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Zip | 77047-3760
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Country | US
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Telephone | 281-397-3799
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Fax | 281-397-3798
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Authorized Official
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Title or Position | CEO
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Name | DR. RAYMOND TAIWO ADEDAPO
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Credential | MD
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Telephone | 203-918-9060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | N4879
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License Number State | TX
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