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General NPI Number Information
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NPI Number | 1265753552
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Entity Type | Organization
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Legal Business Name | CARIBE MEDICAL PC
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 23011 LINDEN BLVD
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1851
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Country | US
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Telephone | 718-276-3400
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Fax | 718-276-3402
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Provider Business Mailing Address
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Address Line | 23011 LINDEN BLVD
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1851
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Country | US
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Telephone | 718-276-3400
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Fax | 718-276-3402
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | DR. OLAKUNLE O AKINBOBOYE
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Credential | MD,MPH
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Telephone | 718-276-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 202443
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License Number State | NY
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