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General NPI Number Information
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NPI Number | 1336021138
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Entity Type | Individual
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Provider Name | OLUJIMI MOBOLAJI DAWODU
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Gender | Male
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 3404 84TH AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-2758
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Country | US
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Telephone | 612-598-5746
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Fax |
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Provider Business Mailing Address
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Address Line | 3404 84TH AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-2758
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Country | US
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Telephone | 612-598-5746
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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 | AP70029052
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License Number State | WA
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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 | 13137
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License Number State | MN
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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 | 10020104
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License Number State | OR
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