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General NPI Number Information
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NPI Number | 1912278557
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Entity Type | Individual
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Provider Name | IFEOMA F OKOYE PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 3890 VAN DYKE RD
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City | LUTZ
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State | FL
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Zip | 33548-4800
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Country | US
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Telephone | 813-269-2814
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Fax | 813-265-4317
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Provider Business Mailing Address
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Address Line | 4810 PORTOBELLO CIR
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City | VALRICO
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State | FL
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Zip | 33596-7372
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Country | US
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Telephone | 813-651-4102
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS 47209
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License Number State | FL
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