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General NPI Number Information
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NPI Number | 1114791183
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Entity Type | Individual
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Provider Name | AYODEJI OKE-OWO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/10/2023
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 1501 DIVISION ST
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City | BALTIMORE
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State | MD
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Zip | 21217-3121
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Country | US
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Telephone | 410-383-3134
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Fax |
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Provider Business Mailing Address
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Address Line | 4114 HOGG CT
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-5500
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Country | US
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Telephone | 240-988-4994
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 18782
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License Number State | MD
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