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General NPI Number Information
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NPI Number | 1851392823
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Entity Type | Individual
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Provider Name | OKEZIE NDUBISI OKEZIE II M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 2307 W. BAKER ROAD SUITE #180
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City | BAYTOWN
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State | TX
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Zip | 77521
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Country | US
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Telephone | 832-514-6300
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Fax | 832-514-6301
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Provider Business Mailing Address
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Address Line | PO BOX 301206
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City | HOUSTON
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State | TX
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Zip | 77230
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Country | US
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Telephone | 832-514-6300
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Fax | 832-514-6301
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | D0063184
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | L5859
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License Number State | TX
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