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General NPI Number Information
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NPI Number | 1629307202
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Entity Type | Individual
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Provider Name | FUNMI OLUBUNMI OLUKOYA ARNP, FNP
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Gender | Female
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 1415 W HOBSONWAY
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City | BLYTHE
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State | CA
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Zip | 92225-1479
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Country | US
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Telephone | 760-922-4981
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Fax |
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Provider Business Mailing Address
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Address Line | 21802 SILVERPEAK CT
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City | KATY
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State | TX
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Zip | 77450-5622
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Country | US
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Telephone | 832-633-3186
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 658920
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95017309
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 305957
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 658920
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License Number State | TX
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