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General NPI Number Information
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NPI Number | 1396303830
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Entity Type | Individual
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Provider Name | OLOLADE TEMITOPE SALIU MD
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Gender | Female
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 640 MAPLE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90014-1009
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Country | US
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Telephone | 562-867-7999
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Fax |
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Provider Business Mailing Address
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Address Line | 640 MAPLE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90014-1009
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Country | US
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Telephone | 562-867-7999
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R-11560
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A196201
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R-11560
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | A196201
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License Number State | CA
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