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General NPI Number Information
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NPI Number | 1043114606
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Entity Type | Individual
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Provider Name | OLUWABUSAYO ADEJUWON
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Gender | Female
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 2807 KINGS CROSSING DR STE 2323
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City | KINGWOOD
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State | TX
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Zip | 77345-5528
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Country | US
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Telephone | 281-706-9232
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR # 34205
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 936-325-5354
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1074848
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License Number State | TX
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