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General NPI Number Information
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NPI Number | 1447730940
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Entity Type | Individual
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Provider Name | OLUFUNKE O'BANION RN
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Gender | Female
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 1011 SOUTH TEXAS 6 SUITE 311
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City | HOUSTON
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State | TX
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Zip | 77077
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Country | US
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Telephone | 713-575-2000
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Fax | 713-575-2031
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Provider Business Mailing Address
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Address Line | 4611 HARDWOOD GLEN DR
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City | FRESNO
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State | TX
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Zip | 77545-9595
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 917995
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License Number State | TX
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