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General NPI Number Information
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NPI Number | 1184394793
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Entity Type | Individual
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Provider Name | FRANCIS OLAOLUWA OGUNLEYE PA
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Gender | Male
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 1731 E 120TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90059
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Country | US
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Telephone | 424-552-6876
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Fax |
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Provider Business Mailing Address
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Address Line | 12700 INGLEWOOD AVE UNIT 699
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City | HAWTHORNE
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State | CA
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Zip | 90251-2446
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Country | US
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Telephone | 424-552-6876
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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