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General NPI Number Information
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NPI Number | 1699584102
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Entity Type | Individual
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Provider Name | GREGORY NKWE NKEPANG PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 12240 N MAY AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-6806
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Country | US
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Telephone | 405-751-1938
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Fax | 405-751-0445
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Provider Business Mailing Address
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Address Line | 18509 ABIERTO DR
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City | EDMOND
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State | OK
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Zip | 73012-9613
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Country | US
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Telephone | 405-658-8087
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 20185
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License Number State | OK
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