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General NPI Number Information
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NPI Number | 1487205902
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Entity Type | Organization
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Legal Business Name | RESCUEMD PLLC
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 945 STOCKTON DR UNIT 6100
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City | ALLEN
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State | TX
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Zip | 75013-6158
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Country | US
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Telephone | 972-390-7667
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Fax | 972-390-1557
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Provider Business Mailing Address
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Address Line | 945 STOCKTON DR UNIT 6100
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City | ALLEN
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State | TX
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Zip | 75013-6158
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Country | US
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Telephone | 313-649-1867
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. OLUBUKOLA ADUKE OKORO
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Credential | OKORO
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Telephone | 972-390-7667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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