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General NPI Number Information
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NPI Number | 1447535091
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Entity Type | Individual
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Provider Name | STELLA OKEKE
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Gender | Female
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 311 BLUESTEM DR
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City | ELGIN
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State | SC
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Zip | 29045-2103
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Country | US
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Telephone | 808-393-8289
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Fax |
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Provider Business Mailing Address
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Address Line | 311 BLUESTEM DR
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City | ELGIN
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State | SC
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Zip | 29045-2103
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Country | US
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Telephone | 808-393-8289
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2011009630
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 18407
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 18407A
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License Number State | SC
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