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General NPI Number Information
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NPI Number | 1528328093
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Entity Type | Individual
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Provider Name | ABIMBOLA BRIDGET OLAORE RN
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Gender | Female
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 7118 MAIN ST
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City | WADE
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State | NC
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Zip | 28395-9749
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Country | US
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Telephone | 910-483-6694
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 449
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City | WADE
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State | NC
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Zip | 28395-0449
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Country | US
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Telephone | 910-483-6694
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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 | RN305216
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5021995
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License Number State | NC
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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 | APRN.CNP.0034485
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License Number State | OH
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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 | 5021995
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License Number State | NC
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