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General NPI Number Information
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NPI Number | 1487475158
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Entity Type | Organization
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Legal Business Name | S. IKPE MD, LLC
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 8003 LINFIELD WAY
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-5060
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Country | US
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Telephone | 816-588-7916
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Fax |
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Provider Business Mailing Address
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Address Line | 8003 LINFIELD WAY
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-5060
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Country | US
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Telephone | 816-588-7916
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Fax |
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | DR. STEPHENSON AMANZE IKPE JR.
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Credential | MD
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Telephone | 816-588-7916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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