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General NPI Number Information
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NPI Number | 1477655959
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Entity Type | Individual
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Provider Name | EMMANUEL CHUJEKWU OKAFOR M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/03/2006
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 6847 N CHESTNUT ST STE 210
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City | RAVENNA
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State | OH
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Zip | 44266-3929
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Country | US
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Telephone | 330-297-6060
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Fax | 216-201-7846
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Provider Business Mailing Address
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Address Line | 6847 N CHESTNUT ST STE 210
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City | RAVENNA
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State | OH
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Zip | 44266-3929
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Country | US
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Telephone | 330-297-6060
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Fax | 216-201-7846
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35 - 55637
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License Number State | OH
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