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General NPI Number Information
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NPI Number | 1457951477
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Entity Type | Individual
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Provider Name | DAVID EDARAMFON OKON PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 3000 N JACKSON RD
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City | HIDALGO
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State | TX
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Zip | 78557-3882
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Country | US
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Telephone | 956-904-4829
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Fax | 956-904-4830
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Provider Business Mailing Address
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Address Line | 2715 ROSEPOINT CT
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City | FRESNO
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State | TX
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Zip | 77545-1420
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Country | US
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Telephone | 830-320-1415
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 56982
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License Number State | TX
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