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General NPI Number Information
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NPI Number | 1568021848
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Entity Type | Individual
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Provider Name | OLUWABUNMI ADENUGA LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 125 GOVERNORS SQ STE D
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-4871
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Country | US
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Telephone | 678-423-5500
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Fax | 678-271-3204
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Provider Business Mailing Address
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Address Line | 314 E HIGHLAND MALL BLVD STE 411
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City | AUSTIN
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State | TX
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Zip | 78752-3732
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Country | US
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Telephone | 512-458-9767
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 67766
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW009867
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License Number State | GA
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