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General NPI Number Information
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NPI Number | 1336430214
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Entity Type | Individual
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Provider Name | OLADOYIN LIU
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Gender | Female
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 147 N BRENT ST
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City | VENTURA
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State | CA
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Zip | 93003-2809
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Country | US
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Telephone | 805-948-8093
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Fax |
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Provider Business Mailing Address
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Address Line | 6125 SUDBURY LN APT 201
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City | MEMPHIS
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State | TN
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Zip | 38115-3336
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 68613
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License Number State | CA
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