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General NPI Number Information
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NPI Number | 1942640693
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Entity Type | Individual
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Provider Name | OBI T OKOYE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 1259 RICKERT DR STE 208
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City | NAPERVILLE
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State | IL
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Zip | 60540-8904
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Country | US
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Telephone | 800-991-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 3820 NORTHDALE BLVD STE 201
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City | TAMPA
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State | FL
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Zip | 33624-1893
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Country | US
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Telephone | 800-991-6117
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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 | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 036151277
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036151277
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License Number State | IL
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