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General NPI Number Information
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NPI Number | 1144304346
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Entity Type | Individual
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Provider Name | OLUWOLE E OLADUTE M.D., PH.D.,
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 306 LAKEGLEN CT
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City | SUGAR LAND
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State | TX
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Zip | 77478-3986
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Country | US
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Telephone | 281-238-5480
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Fax | 832-595-9796
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Provider Business Mailing Address
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Address Line | PO BOX 1674
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City | SUGAR LAND
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State | TX
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Zip | 77487-1674
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Country | US
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Telephone | 281-238-5480
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Fax | 832-595-9796
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | J0170
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | J0170
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | J0170
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License Number State | TX
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