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General NPI Number Information
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NPI Number | 1598283756
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Entity Type | Individual
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Provider Name | DAVID OLADIPO ABIOYE
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Gender | Male
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7110 S UTICA AVENUE SUITE 613
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-805-2305
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Fax | 918-340-5516
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Provider Business Mailing Address
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Address Line | 7110 S UTICA AVENUE SUITE 613
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-805-2305
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Fax | 918-340-5516
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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