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General NPI Number Information
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NPI Number | 1285365890
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Entity Type | Individual
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Provider Name | OLUFUNMILOLA ABIODUN OJO FNP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | ABSOLUT CENTER FOR REHABILITATION AND NURSING 301 NANTUCKET DR
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City | ENDICOTT
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State | NY
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Zip | 13760-2735
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Country | US
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Telephone | 607-624-2307
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 HEMLOCK LN
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City | VESTAL
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State | NY
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Zip | 13850-2632
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Country | US
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Telephone | 607-624-2307
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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 | 346278
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License Number State | NY
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