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General NPI Number Information
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NPI Number | 1669167938
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Entity Type | Individual
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Provider Name | NADIA OKOREE-SIAW MD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 4301 W MARKHAM ST # 589
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7101
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Country | US
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Telephone | 501-526-8148
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Fax |
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Provider Business Mailing Address
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Address Line | 111 E 4TH ST APT 1306
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-5498
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Country | US
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Telephone | 623-734-5608
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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