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General NPI Number Information
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NPI Number | 1619855954
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Entity Type | Individual
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Provider Name | BENJAMIN OKENGE PT, DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 615 COPELAND MILL RD
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City | WESTERVILLE
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State | OH
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Zip | 43081-8904
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Country | US
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Telephone | 614-732-0149
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Fax |
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Provider Business Mailing Address
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Address Line | 720 W 3RD AVE APT 333
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City | COLUMBUS
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State | OH
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Zip | 43212-3162
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Country | US
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Telephone | 404-791-2281
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT021821
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License Number State | OH
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