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General NPI Number Information
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NPI Number | 1598307522
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Entity Type | Individual
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Provider Name | OLUJIMI IKUOPENIKAN
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Gender | Male
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 9645 BARKER CYPRESS RD STE 100
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City | CYPRESS
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State | TX
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Zip | 77433-5292
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Country | US
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Telephone | 346-250-6010
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Fax | 346-200-3572
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Provider Business Mailing Address
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Address Line | 2202 FALCON BROOK DR
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City | KATY
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State | TX
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Zip | 77494-7375
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Country | US
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Telephone | 832-681-0706
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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 | 163WD1100X
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Taxonomy Name | Peritoneal Dialysis Registered Nurse
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License Number | AP142626
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WH0500X
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Taxonomy Name | Hemodialysis Registered Nurse
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License Number | AP142626
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163WN0300X
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Taxonomy Name | Nephrology Registered Nurse
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License Number | AP142626
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP142626
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP142626
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP142626
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP142626
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License Number State | TX
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