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General NPI Number Information
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NPI Number | 1568641561
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Entity Type | Individual
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Provider Name | OYEBUKOLA A OYEDIRAN MD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 4696 MILLENNIUM DR STE 110
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City | BELCAMP
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State | MD
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Zip | 21017-1556
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Country | US
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Telephone | 410-299-4912
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Fax | 833-764-5782
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Provider Business Mailing Address
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Address Line | 4696 MILLENNIUM DR STE 110
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City | BELCAMP
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State | MD
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Zip | 21017-1556
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Country | US
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Telephone |
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Fax | 833-764-5782
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0071717
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35090503
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License Number State | OH
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