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General NPI Number Information
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NPI Number | 1518326099
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Entity Type | Individual
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Provider Name | MARIAN OWOLABI CNP
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Gender | Female
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 1250 S WASHINGTON ST
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City | VAN WERT
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State | OH
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Zip | 45891-2551
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Country | US
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Telephone | 419-238-2390
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Fax |
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Provider Business Mailing Address
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Address Line | 9014 TARPLEYS CIRCLE
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City | BALTIMORE
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State | MD
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Zip | 21237
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Country | US
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Telephone | 443-834-2613
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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 | R199703
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 18987NP
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ01023400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ01023400
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License Number State | NJ
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