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General NPI Number Information
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NPI Number | 1710404306
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Entity Type | Individual
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Provider Name | MAXINE C OKAFOR APRN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 401 N BRAND BLVD STE 834
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City | GLENDALE
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State | CA
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Zip | 91203-4451
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Country | US
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Telephone | 323-568-1700
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Fax | 323-568-1700
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Provider Business Mailing Address
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Address Line | 1902 W UNION HILLS DR UNIT 41331
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City | PHOENIX
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State | AZ
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Zip | 85080-4115
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Country | US
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Telephone | 323-568-1700
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Fax | 323-568-1700
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP134780
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95008984
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP134780
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 268777
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License Number State | AZ
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