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General NPI Number Information
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NPI Number | 1457010860
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Entity Type | Individual
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Provider Name | ADEDUNTAN OLABISI OKE PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 04/06/2025
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Provider Practice Location Address
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Address Line | 3957 MIRECOURT CIR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95742-6786
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Country | US
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Telephone | 215-687-5944
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Fax |
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Provider Business Mailing Address
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Address Line | 3957 MIRECOURT CIR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95742-6786
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Country | US
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Telephone | 215-687-5944
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95025384
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11016552
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95025384
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95025384
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License Number State | CA
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