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General NPI Number Information
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NPI Number | 1699979534
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Entity Type | Individual
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Provider Name | CHUKWUKA C OKAFOR MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 5050 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-2501
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Country | US
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Telephone | 863-688-3030
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Fax | 863-688-4430
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Provider Business Mailing Address
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Address Line | 5050 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-2501
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Country | US
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Telephone | 863-688-3030
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Fax | 863-688-4430
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD429548
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MT184380
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME 104463
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License Number State | FL
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