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1043453400 NPI number — OLA OLADIPUPO

NPI Number: 1043453400
Health Care Provider/Practitioner: OLA OLADIPUPO

Information about “1043453400” NPI (OLA OLADIPUPO) exists in 1043453400 in HTML format HTML  |  1043453400 in plain Text format TXT  |  1043453400 in PDF (Portable Document Format) PDF  |  1043453400 in an XML format XML  formats.

NPI Number : 1043453400 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043453400",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OLADIPUPO",
    "FirstName": "OLA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8206 BARRINGTON CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEVERN",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21144-4412",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-704-1673",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2250 HICKORY RD",
    "SecondLinePracticeLocationAddress": "SUITE 240",
    "PracticeLocationAddressCityName": "PLYMOUTH MEETING",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19462-1047",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-834-1122",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/15/2009",
    "LastUpdateDate": "04/15/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "18296",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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