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General NPI Number Information
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NPI Number | 1447994793
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Entity Type | Organization
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Legal Business Name | DOTUN OGUNYEMI MD INCORPORATED
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 8631 W 3RD ST STE 444E
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City | LOS ANGELES
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State | CA
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Zip | 90048-5908
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Country | US
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Telephone | 310-652-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 900 W OLYMPIC BLVD UNIT 32D
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City | LOS ANGELES
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State | CA
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Zip | 90015-1344
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Country | US
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Telephone | 310-279-3538
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DOTUN OGUNYEMI MD OGUNYEMI
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Credential | MD
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Telephone | 310-279-3538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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