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General NPI Number Information
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NPI Number | 1659663409
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Entity Type | Individual
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Provider Name | MR. GODWIN NNAJI OKEKE
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Gender | Male
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 1901 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10029-7404
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Country | US
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Telephone | 212-423-7016
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Fax | 212-423-7804
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Provider Business Mailing Address
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Address Line | PO BOX 660920
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City | BRONX
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State | NY
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Zip | 10466-0315
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Country | US
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Telephone | 718-379-2159
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Fax | 212-423-7804
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 051166-1
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License Number State | NY
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