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General NPI Number Information
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NPI Number | 1447295159
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Entity Type | Individual
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Provider Name | ADANMA MBADINUJU OKWARA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 404 S SUTHERLAND AVE
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City | MONROE
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State | NC
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Zip | 28112-5060
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Country | US
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Telephone | 704-291-9267
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Fax | 704-776-4078
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Provider Business Mailing Address
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Address Line | 404 S SUTHERLAND AVE
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City | MONROE
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State | NC
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Zip | 28112-5060
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Country | US
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Telephone | 704-291-9267
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Fax | 704-283-7939
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 200501741
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License Number State | NC
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