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General NPI Number Information
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NPI Number | 1326292806
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Entity Type | Individual
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Provider Name | HAKEEM AFUWAPE DO
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Gender | Male
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 1000 MONTAUK HWY
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City | WEST ISLIP
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State | NY
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Zip | 11795-4927
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Country | US
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Telephone | 631-376-4027
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Fax |
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Provider Business Mailing Address
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Address Line | 211 STATION WAY
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-1908
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Country | US
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Telephone | 973-727-1430
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 265735-1
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License Number State | NY
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