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General NPI Number Information
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NPI Number | 1568659662
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Entity Type | Individual
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Provider Name | IFEOMA JULIET ANWUNAH-OKOYE M.D
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | UMDNJ / UNIVERSITY CORRECTIONAL HC C/O NJDOC COLPITTS MODULAR UNIT, BOX 863 ,WHITTLESEY RD.
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City | TRENTON
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State | NJ
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Zip | 08625
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Country | US
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Telephone | 609-341-3093
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Fax | 609-341-9380
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Provider Business Mailing Address
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Address Line | 3124 HIGHWAY 27 PO BOX 5094
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City | KENDALL PARK
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State | NJ
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Zip | 08824-9998
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA06743300
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License Number State | NJ
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