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General NPI Number Information
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NPI Number | 1538689070
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Entity Type | Individual
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Provider Name | OLANREWAJU MEEKS
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Gender | Female
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1621 MIDTOWN PL STE B
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City | MIDWEST CITY
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State | OK
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Zip | 73130-6348
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Country | US
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Telephone | 405-982-2121
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Fax | 405-561-0120
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Provider Business Mailing Address
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Address Line | 12724 TROUT ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-1746
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Country | US
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Telephone | 405-981-9981
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6430
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 87
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License Number State | OK
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