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General NPI Number Information
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NPI Number | 1013221969
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Entity Type | Individual
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Provider Name | OLADOTUN OLUSHOLA AKINMURELE MD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 3120 CAPITAL WAY UNIT 602
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City | FORT WORTH
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State | TX
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Zip | 76177-4305
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Country | US
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Telephone | 817-704-3345
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Fax | 817-704-3463
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Provider Business Mailing Address
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Address Line | PO BOX 299
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City | PORTALES
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State | NM
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Zip | 88130-9347
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Country | US
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Telephone | 575-356-6652
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Fax | 575-226-0099
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 49044
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 342642
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 33650
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036170828
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | Q1936
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD2011-02222
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License Number State | NM
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