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General NPI Number Information
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NPI Number | 1366050312
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Entity Type | Individual
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Provider Name | OLUWAKENKE BEN-ASEMOTA
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Gender | Female
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 235 WELLESLEY ST
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City | WESTON
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State | MA
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Zip | 02493-1572
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Country | US
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Telephone | 866-411-2171
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4222
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City | ALPHARETTA
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State | GA
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Zip | 30023-4222
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN256600
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License Number State | GA
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