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General NPI Number Information
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NPI Number | 1316604861
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Entity Type | Individual
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Provider Name | MUTIAT TEMITOPE OLAWUNMI PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 26711 BEACON LODGE LANE
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City | RICHMOND
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State | TX
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Zip | 77407-2277
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Country | US
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Telephone | 281-258-5344
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Fax |
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Provider Business Mailing Address
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Address Line | 26711 BEACON LODGE LN
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City | RICHMOND
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State | TX
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Zip | 77406-0157
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Country | US
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Telephone | 281-258-5344
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202208555
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404116
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0103592
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 68094
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 61530158
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1060110
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95023833
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 0103592
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License Number State | CO
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