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General NPI Number Information
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NPI Number | 1215464557
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Entity Type | Individual
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Provider Name | AKINTUNDE OLANIYI OJO DDS
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Gender | Male
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9160 FM 78 STE 1B
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City | CONVERSE
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State | TX
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Zip | 78109-2040
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Country | US
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Telephone | 210-672-4610
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Fax |
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Provider Business Mailing Address
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Address Line | 6974 OAK DR APT 6101
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City | SAN ANTONIO
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State | TX
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Zip | 78256-4425
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Country | US
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Telephone | 773-414-2307
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 33069
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License Number State | TX
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