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General NPI Number Information
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NPI Number | 1093269722
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Entity Type | Individual
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Provider Name | ADEBIMPE BLESSING OGUNSEFUNMI NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 611 GATEWAY BLVD STE 120
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-7066
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Country | US
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Telephone | 650-761-4056
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Fax |
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Provider Business Mailing Address
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Address Line | 11511 SHADOW CREEK PKWY
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City | PEARLAND
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State | TX
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Zip | 77584-7298
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Country | US
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Telephone | 713-442-0000
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 355748
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95033275
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP130385
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP130385
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP130385
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11038585
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License Number State | FL
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