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General NPI Number Information
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NPI Number | 1538979166
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Entity Type | Individual
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Provider Name | ABIOLA OLUFUNLAYO OLADOKE PHD, MSHNFM, CLT
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1447 W GRAND AVE
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City | GROVER BEACH
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State | CA
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Zip | 93433-2250
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Country | US
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Telephone | 805-867-7298
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Fax |
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Provider Business Mailing Address
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Address Line | 110 MARY AVENUE SUITE 2298
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City | NIPOMO
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State | CA
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Zip | 93444
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Country | US
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Telephone | 805-867-7298
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State | CA
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