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NPI Code Detail

MEDICARE: MS. AJOKE OLIVIA ADEBAYO

MEDICARE:  MS. AJOKE OLIVIA ADEBAYO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN288515PA

General Provider Information

NPI Number : 1427331164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AJOKE OLIVIA ADEBAYO
Provider Business Mailing Address
First Line : 7248 ELMWOOD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19142-1533
Country : US
Telephone Number : 267-902-9731
Fax Number :
Provider Business Practice Location Address
First Line : 7248 ELMWOOD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19142-1533
Country : US
Telephone Number : 267-902-9731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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Directions to “ MS. AJOKE OLIVIA ADEBAYO ” Practice Location

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