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General NPI Number Information
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NPI Number | 1649104191
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Entity Type | Individual
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Provider Name | TIOLUWANI ODUKOYA
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Gender | Male
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 400 W ARBROOK BLVD STE 151
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City | ARLINGTON
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State | TX
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Zip | 76014-3181
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Country | US
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Telephone | 817-472-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 1212 SINGLETON BLVD APT 2100
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City | DALLAS
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State | TX
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Zip | 75212-5373
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 3134566
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3134566
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License Number State | TX
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