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NPI 1285016956

NPI 1285016956 : PAUL ODUNAYO OLORUNFEMI MD : APACHE JUNCTION, AZ

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General NPI Number Information
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    NPI Number           |    1285016956
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    Entity Type          |    Individual 
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    Provider Name        |    PAUL ODUNAYO OLORUNFEMI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/18/2015
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    Last Update Date     |    02/06/2026
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Provider Practice Location Address
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    Address Line         |    750 S IRONWOOD DR STE 103 
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    City                 |    APACHE JUNCTION
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    State                |    AZ
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    Zip                  |    85120-5047
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    Country              |    US
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    Telephone            |    480-690-5210
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    Fax                  |    480-690-5837
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Provider Business Mailing Address
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    Address Line         |    750 S IRONWOOD DR STE 103 
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    City                 |    APACHE JUNCTION
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    State                |    AZ
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    Zip                  |    85120-5047
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    Country              |    US
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    Telephone            |    480-690-5210
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    Fax                  |    480-690-5837
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    ME136997
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    67599
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    ME136997
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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    License Number       |    67599
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    License Number State |    AZ
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Taxonomy #5
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    Taxonomy Code        |    207U00000X
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    Taxonomy Name        |    Nuclear Medicine Physician
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    License Number       |    67599
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    License Number State |    AZ
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