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General NPI Number Information
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NPI Number | 1457047722
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Entity Type | Organization
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Legal Business Name | IZUCHUKWU OKPARA MD, P.A.
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 1111 SW 1ST AVE APT 1922N
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City | MIAMI
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State | FL
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Zip | 33130-5406
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Country | US
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Telephone | 213-228-3538
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Fax | 818-356-4380
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Provider Business Mailing Address
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Address Line | 25044 PEACHLAND AVE STE 110
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City | SANTA CLARITA
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State | CA
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Zip | 91321-5730
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Country | US
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Telephone | 661-934-0873
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Fax | 818-356-4380
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | IZUCHUKWU OKPARA
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Credential | MD
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Telephone | 213-228-3538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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