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General NPI Number Information
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NPI Number | 1144313800
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Entity Type | Organization
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Legal Business Name | OLUYEMISI S. AFUAPE, M.D., INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 ALESSANDRO PL. STE 100
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City | PASADENA
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State | CA
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Zip | 91105
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Country | US
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Telephone | 626-792-0717
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Fax | 626-792-3703
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Provider Business Mailing Address
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Address Line | 50 ALESSANDRO PL. STE 100
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City | PASADENA
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State | CA
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Zip | 91105
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Country | US
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Telephone | 626-792-0717
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Fax | 626-792-3703
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. OLUYEMISI S. AFUAPE
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Credential | M.D.
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Telephone | 626-792-0717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C2481028
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License Number State | CA
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