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General NPI Number Information
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NPI Number | 1245588680
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Entity Type | Individual
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Provider Name | LOUIS C OKAFOR MD
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Gender | Male
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 41 STEWART ST APARTMENT A
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City | ROCHESTER
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State | NY
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Zip | 14620-2822
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Country | US
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Telephone | 405-314-7809
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Fax |
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Provider Business Mailing Address
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Address Line | 6830 S SOUTH SHORE DR APT 3
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City | CHICAGO
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State | IL
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Zip | 60649-1331
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2018016207
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35.139213
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License Number State | OH
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