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General NPI Number Information
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NPI Number | 1538217708
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Entity Type | Individual
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Provider Name | MR. ABIODUN OLATUNDE FALOWO
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Gender | Male
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 114 E COLUMBIA ST
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3405
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Country | US
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Telephone | 703-533-2256
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Fax |
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Provider Business Mailing Address
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Address Line | 16000 ALDERWOOD LN
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City | BOWIE
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State | MD
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Zip | 20716-1503
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Country | US
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Telephone | 301-336-4299
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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