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General NPI Number Information
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NPI Number | 1215725429
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Entity Type | Individual
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Provider Name | TUMININU GLADYS OLONIBOKO
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Gender | Female
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2607 MEDICAL OFFICE PL STE A
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City | GOLDSBORO
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State | NC
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Zip | 27534-9437
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Country | US
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Telephone | 919-739-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 477 HOLLY GROVE DR
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City | WINTERVILLE
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State | NC
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Zip | 28590-3202
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Country | US
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Telephone | 252-717-8898
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5021888
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License Number State | NC
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