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General NPI Number Information
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NPI Number | 1245502889
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Entity Type | Individual
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Provider Name | MR. TAIWO OLUMIDE OLUYEMO
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Gender | Male
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Dates
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Enumeration Date | 01/28/2012
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 2720 ORCHARD ORIOLE WAY
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City | ODENTON
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State | MD
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Zip | 21113-6038
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Country | US
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Telephone | 301-326-5867
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Fax | 202-609-7409
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Provider Business Mailing Address
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Address Line | 2720 ORCHARD ORIOLE WAY
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City | ODENTON
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State | MD
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Zip | 21113-6038
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Country | US
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Telephone | 301-326-5867
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Fax | 202-609-7409
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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 | RN1009677
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1009677
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R181061
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R181061
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License Number State | MD
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