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General NPI Number Information
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NPI Number | 1336533561
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Entity Type | Individual
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Provider Name | OLAWEMIMO ABIONA
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Gender | Female
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 111 MARKET ST
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City | NEWARK
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State | NJ
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Zip | 07102-2809
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Country | US
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Telephone | 973-624-4999
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Fax |
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Provider Business Mailing Address
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Address Line | 533 BEACH ST FL 1
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City | ORANGE
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State | NJ
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Zip | 07050-1101
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Country | US
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Telephone | 973-384-7309
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03516300
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License Number State | NJ
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