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General NPI Number Information
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NPI Number | 1902876063
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Entity Type | Individual
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Provider Name | OKORIE NDUKA OKORIE MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-1248
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Country | US
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Telephone | 352-265-0655
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 N ORANGE AVE STE 401
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City | ORLANDO
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State | FL
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Zip | 32804-4644
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Country | US
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Telephone | 407-303-7283
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Fax | 407-303-0347
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME92952
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | ME92952
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME92952
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License Number State | FL
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