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General NPI Number Information
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NPI Number | 1649465089
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Entity Type | Individual
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Provider Name | AMIRA M OGUNLEYE DDS
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1075 NE 125TH ST SUITE 201
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5800
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Country | US
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Telephone | 305-899-7979
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Fax | 305-899-2880
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Provider Business Mailing Address
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Address Line | 1075 NE 125TH ST SUITE 201
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5800
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Country | US
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Telephone | 305-899-7979
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Fax | 305-899-2880
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.022640
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN18013
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License Number State | FL
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