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General NPI Number Information
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NPI Number | 1275778599
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Entity Type | Organization
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Legal Business Name | MARIA K NWOKIKEMD FACE PC
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Dates
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Enumeration Date | 12/16/2008
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 6850 N DURANGO DR SUIE 204
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City | LAS VEGAS
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State | NV
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Zip | 89149-4595
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Country | US
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Telephone | 702-967-3510
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Fax | 702-967-3513
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Provider Business Mailing Address
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Address Line | 6850 N DURANGO DR SUIE 204
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City | LAS VEGAS
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State | NV
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Zip | 89149-4595
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Country | US
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Telephone | 702-967-3510
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Fax | 702-967-3513
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA NWOKIKE
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Credential | MD
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Telephone | 702-967-3510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 12597
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License Number State | NV
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