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General NPI Number Information
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NPI Number | 1710234984
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Entity Type | Organization
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Legal Business Name | ORI-MED, PC
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 930 SE CARY PKWY STE 100B
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City | CARY
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State | NC
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Zip | 27518-7419
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Country | US
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Telephone | 919-851-1533
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 248820
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City | OKLAHOMA CITY
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State | OK
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Zip | 73124-8820
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ANTHONY OKOBI
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Credential |
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Telephone | 919-851-1533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 2012-00463
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License Number State | NC
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