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General NPI Number Information
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NPI Number | 1396519609
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Entity Type | Organization
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Legal Business Name | OPTIMUS PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 3019 MEDLIN DR STE 200
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City | ARLINGTON
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State | TX
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Zip | 76015-2307
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Country | US
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Telephone | 682-382-3435
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Fax | 720-794-8635
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Provider Business Mailing Address
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Address Line | 3019 MEDLIN DR STE 200
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City | ARLINGTON
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State | TX
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Zip | 76015-2307
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Country | US
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Telephone | 682-382-3435
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Fax | 720-794-8635
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Authorized Official
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Title or Position | OWNER
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Name | DR. SULAIMON ADEBIMPE BAKRE
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Credential | MD
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Telephone | 682-248-4562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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