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General NPI Number Information
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NPI Number | 1881799898
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Entity Type | Individual
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Provider Name | STEPHEN OKIYE MD
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 9149 ESTATE THOMAS PARAGON BUILDING SUITE 307
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City | ST THOMAS
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State | VI
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Zip | 00802-2687
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Country | US
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Telephone | 340-116-7714
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Fax | 340-777-4499
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Provider Business Mailing Address
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Address Line | #9149 ESTATE THOMAS PARAGON MEDICAL BUILDING SUITE 307
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City | ST THOMAS
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State | VI
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Zip | 00802
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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 |
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 684
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License Number State | VI
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