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General NPI Number Information
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NPI Number | 1356734602
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Entity Type | Organization
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Legal Business Name | AKINYEMI PC
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Dates
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Enumeration Date | 03/11/2015
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 17312 RUSSET DR
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City | BOWIE
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State | MD
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Zip | 20716-3609
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Country | US
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Telephone | 301-523-1673
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Fax |
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Provider Business Mailing Address
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Address Line | 17312 RUSSET DR
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City | BOWIE
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State | MD
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Zip | 20716-3609
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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 | PROPRIETOR
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Name | DR. OLAOYE A AKINYEMI
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Credential | DPT
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Telephone | 301-523-1673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 22854
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License Number State | MD
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