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General NPI Number Information
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NPI Number | 1285140541
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Entity Type | Individual
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Provider Name | OMOLARA AKINRINADE
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Gender | Female
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Dates
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Enumeration Date | 12/22/2017
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Last Update Date | 12/29/2017
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Provider Practice Location Address
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Address Line | 6722 VALLEY CREEK DR
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City | BALTIMORE
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State | MD
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Zip | 21207-5319
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Country | US
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Telephone | 443-257-6313
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Fax |
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Provider Business Mailing Address
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Address Line | 55 HATCHETTS HILL RD
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City | OLD LYME
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State | CT
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Zip | 06371-1534
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 05997
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License Number State | MD
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