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General NPI Number Information
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NPI Number | 1679900708
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Entity Type | Organization
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Legal Business Name | ORAKWAO DAVID DOWUONA MD PC
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 829 EMPIRE AVE
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4856
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Country | US
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Telephone | 718-337-4800
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Fax | 718-337-4808
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Provider Business Mailing Address
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Address Line | 829 EMPIRE AVE
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4856
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Country | US
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Telephone | 718-337-4800
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Fax | 718-337-4808
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ORAKWAO DAVID DOWUONA
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Credential | MD
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Telephone | 718-337-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 163398
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License Number State | NY
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