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General NPI Number Information
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NPI Number | 1437041050
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Entity Type | Individual
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Provider Name | OLUDARE ALABI MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 111 S 11TH ST # 3350
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4870
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Country | US
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Telephone | 800-858-1662
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Fax |
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Provider Business Mailing Address
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Address Line | 917 ARCH ST APT 404
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City | PHILADELPHIA
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State | PA
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Zip | 19107-2446
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Country | US
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Telephone | 267-599-1386
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MT234609
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License Number State | PA
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