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General NPI Number Information
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NPI Number | 1245332345
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Entity Type | Individual
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Provider Name | SUZETTE OLUBUSOLA OYEKU MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 3444 KOSSUTH AVE CHILDREN'S HOSPITAL AT MONTEFIORE/FAMILY CARE CENTER
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City | BRONX
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State | NY
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Zip | 10467-2410
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Country | US
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Telephone | 718-920-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 HENRY HUDSON PKWY W APT 8G
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City | BRONX
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State | NY
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Zip | 10471-3217
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Country | US
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Telephone | 718-796-3403
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 240819
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License Number State | NY
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