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General NPI Number Information
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NPI Number | 1174800353
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Entity Type | Individual
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Provider Name | OPEYEMI KEMIKI DADA PMHNP-BC, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1308 SHERWOOD AVE
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City | RICHMOND
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State | VA
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Zip | 23220-1210
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Country | US
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Telephone | 804-828-3129
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Fax | 804-628-1236
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Provider Business Mailing Address
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Address Line | 8401 MAYLAND DR # 7117
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 240-505-2416
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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 | LJ0000301
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R182034
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | LJ0000301
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0010526
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024190248
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 209009246
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0024190248
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License Number State | VA
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