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General NPI Number Information
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NPI Number | 1538742242
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Entity Type | Organization
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Legal Business Name | FLORADI PLLC
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 1210 KINGSBRIDGE RD
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City | HOUSTON
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State | TX
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Zip | 77073-1277
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Country | US
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Telephone | 415-691-0462
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 301030
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City | HOUSTON
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State | TX
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Zip | 77230-1030
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Country | US
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Telephone | 415-691-0462
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FLORENCE IFEOMA ADIMORA-NWEKE
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Credential | MD
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Telephone | 415-691-0462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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