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General NPI Number Information
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NPI Number | 1659508240
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Entity Type | Organization
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Legal Business Name | OBIAJULU C. OKAFOR, M.D.
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 739 PRESIDENT PLACE SUITE 100
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City | SMYRNA
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State | TN
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Zip | 37167
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Country | US
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Telephone | 615-355-4720
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Fax | 615-355-4721
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Provider Business Mailing Address
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Address Line | 739 PRESIDENT PLACE SUITE 100
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City | SMYRNA
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State | TN
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Zip | 37167
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Country | US
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Telephone | 615-355-4720
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Fax | 615-355-4721
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Authorized Official
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Title or Position | PHYSIAN
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Name | OBIAJULU C OKAFOR
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Credential | MD
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Telephone | 615-355-4720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 38118
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License Number State | TN
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