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General NPI Number Information
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NPI Number | 1235349903
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Entity Type | Individual
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Provider Name | OKODUWA ARABOMEN OKOAWO RPH
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 590 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33130-1326
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Country | US
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Telephone | 305-545-0533
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Fax |
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Provider Business Mailing Address
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Address Line | 1761 NE 4TH AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33305-3000
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Country | US
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Telephone | 954-253-0175
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS34767
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License Number State | FL
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