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General NPI Number Information
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NPI Number | 1861787426
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Entity Type | Individual
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Provider Name | PAUL OGECHUKWUNYEM NKADI MD1
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Gender | Male
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Dates
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Enumeration Date | 06/12/2011
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 2901 K ST 120-C
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City | SACRAMENTO
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State | CA
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Zip | 95816-5124
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Country | US
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Telephone | 916-448-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 5489 E SUNWOOD CT
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City | ROCKLIN
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State | CA
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Zip | 95677-3053
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Country | US
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Telephone | 510-552-6807
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A139131
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License Number State | CA
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