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General NPI Number Information
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NPI Number | 1598314049
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Entity Type | Individual
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Provider Name | OLUWABUNMI SARAH OBA NP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2019
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Last Update Date | 09/07/2019
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Provider Practice Location Address
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Address Line | 2669 SCENIC DR
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City | ALAMOGORDO
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State | NM
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Zip | 88310-8700
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Country | US
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Telephone | 910-265-0271
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Fax |
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Provider Business Mailing Address
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Address Line | 2569 MAGNOLIA FAIR WAY
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City | SPRING
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State | TX
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Zip | 77386-4274
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Country | US
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Telephone | 910-265-0271
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 57158
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License Number State | NM
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