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General NPI Number Information
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NPI Number | 1245105063
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Entity Type | Organization
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Legal Business Name | E OLAYEMI DMD LLC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 2104 TRIMBLE RD
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City | EDGEWOOD
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State | MD
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Zip | 21040-3126
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Country | US
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Telephone | 410-676-5252
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Fax | 410-676-1160
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Provider Business Mailing Address
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Address Line | PO BOX 696
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City | EDGEWOOD
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State | MD
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Zip | 21040-0696
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Country | US
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Telephone | 410-676-5252
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Fax | 410-676-1160
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Authorized Official
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Title or Position | OWNER
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Name | DR. EBUNOLUWA B OLAYEMI
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Credential | DMD
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Telephone | 267-945-3904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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