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General NPI Number Information
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NPI Number | 1144653502
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Entity Type | Individual
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Provider Name | OLAYEMI AWOSANYA BELLO REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 125 KING AVE STE 200
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City | ATHENS
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State | GA
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Zip | 30606-6710
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Country | US
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Telephone | 706-369-4478
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Fax | 706-353-6639
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Provider Business Mailing Address
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Address Line | 2655 DANIEL PARK RUN
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City | DACULA
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State | GA
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Zip | 30019-7823
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Country | US
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Telephone | 920-268-5215
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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 | RN266075
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 15955
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License Number State | WI
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