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General NPI Number Information
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NPI Number | 1659097905
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Entity Type | Organization
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Legal Business Name | DOTUN OGUNYEMI MD INCORPORATED
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 8631 W 3RD ST STE 600
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City | LOS ANGELES
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State | CA
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Zip | 90048-5910
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Country | US
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Telephone | 310-560-3776
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Fax |
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Provider Business Mailing Address
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Address Line | 2149 HERCULES DR
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City | LOS ANGELES
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State | CA
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Zip | 90046-2016
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Country | US
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Telephone | 310-279-3538
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DOTUN OGUNYEMI
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Credential | MD
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Telephone | 310-279-3538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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