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General NPI Number Information
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NPI Number | 1396425278
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Entity Type | Individual
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Provider Name | MR. ABUBAKAR OLORUNOJE
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Gender | Male
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 7600 FONTAINEBLEAU DR APT 503
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-3837
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Country | US
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Telephone | 443-572-1467
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Fax |
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Provider Business Mailing Address
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Address Line | 7600 FONTAINEBLEAU DR APT 503
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-3837
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Country | US
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Telephone | 443-572-1467
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HHA200003039
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License Number State | DC
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