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General NPI Number Information
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NPI Number | 1801706825
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Entity Type | Individual
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Provider Name | NDIDI E OKUGO
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 1680 E 120TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90059-3026
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Country | US
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Telephone | 424-338-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 5229 E EBELL ST
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City | LONG BEACH
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State | CA
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Zip | 90808-1837
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Country | US
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Telephone | 423-338-8000
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 666717
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License Number State | CA
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