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General NPI Number Information
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NPI Number | 1326532995
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Entity Type | Individual
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Provider Name | STANLEY T OKOYE
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Gender | Male
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 35100 ANN ARBOR TRL
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City | LIVONIA
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State | MI
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Zip | 48150-3543
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Country | US
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Telephone | 734-522-1444
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Fax | 734-522-4690
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Provider Business Mailing Address
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Address Line | 37470 EAGLE DR
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City | LIVONIA
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State | MI
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Zip | 48150-5055
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Country | US
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Telephone | 313-412-7807
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 5202007533
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License Number State | MI
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