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1184859712 NPI number — OLUFOLAKE M AWOGBEMILA

NPI Number: 1184859712
Health Care Provider/Practitioner: OLUFOLAKE M AWOGBEMILA

Information about “1184859712” NPI (OLUFOLAKE M AWOGBEMILA) exists in 1184859712 in HTML format HTML  |  1184859712 in plain Text format TXT  |  1184859712 in PDF (Portable Document Format) PDF  |  1184859712 in an XML format XML  formats.

NPI Number : 1184859712 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184859712",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AWOGBEMILA",
    "FirstName": "OLUFOLAKE",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5715 SHORE FRONT PKWY",
    "SecondLineMailingAddress": "APT 1604",
    "MailingAddressCityName": "ARVERNE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11692-1840",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-230-4267",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5715 SHORE FRONT PKWY",
    "SecondLinePracticeLocationAddress": "APT 1604",
    "PracticeLocationAddressCityName": "ARVERNE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11692-1840",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "347-230-4267",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/27/2009",
    "LastUpdateDate": "11/01/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "291028",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "649535-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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