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General NPI Number Information
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NPI Number | 1548101140
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Entity Type | Individual
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Provider Name | OLAYINKA OLAMIDE SOGBESAN
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Gender | Female
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 05/31/2026
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Provider Practice Location Address
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Address Line | 10264 BALTIMORE NATIONAL PIKE STE B
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-3609
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Country | US
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Telephone | 443-288-0366
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Fax |
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Provider Business Mailing Address
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Address Line | 35 K ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4216
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Country | US
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Telephone | 202-839-3500
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Fax | 202-839-3500
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R66402
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License Number State | MD
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