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General NPI Number Information
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NPI Number | 1295990588
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Entity Type | Individual
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Provider Name | ABIMBOLA O. OLOWO MD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 17855 DALLAS PKWY STE 200
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City | DALLAS
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State | TX
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Zip | 75287-6857
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Country | US
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Telephone | 909-340-2229
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Fax | 909-331-4801
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Provider Business Mailing Address
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Address Line | 408 JANET CT
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City | NEW CASTLE
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State | DE
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Zip | 19720-5628
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Country | US
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Telephone | 302-897-7900
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0079914
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C1-0009038
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License Number State | DE
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