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1548126840 NPI number — OLUBUKOLA ABEJIDE

NPI Number: 1548126840
Health Care Provider/Practitioner: OLUBUKOLA ABEJIDE

Information about “1548126840” NPI (OLUBUKOLA ABEJIDE) exists in 1548126840 in HTML format HTML  |  1548126840 in plain Text format TXT  |  1548126840 in PDF (Portable Document Format) PDF  |  1548126840 in an XML format XML  formats.

NPI Number : 1548126840 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548126840",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ABEJIDE",
    "FirstName": "OLUBUKOLA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "275 MEDICAL DR UNIT 4622",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARMEL",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46082-0485",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-764-4625",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5340 ROTHBURY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NOBLESVILLE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46062-0121",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-764-4625",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/30/2025",
    "LastUpdateDate": "12/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3747A0650X",
        "TaxonomyName": "Attendant Care Provider",
        "LicenseNumber": "25-019364-1",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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