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General NPI Number Information
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NPI Number | 1598044042
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Entity Type | Individual
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Provider Name | OLADAPO MICHAEL ONIJALA PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2011
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 12011 LEE JACKSON MEMORIAL HWY
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City | FAIRFAX
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State | VA
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Zip | 22033-3310
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Country | US
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Telephone | 703-383-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 BLUESTONE ST APT. M
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City | HANOVER
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State | MD
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Zip | 21076-1951
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0202210072
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 19740
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License Number State | MD
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