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General NPI Number Information
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NPI Number | 1679122139
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Entity Type | Individual
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Provider Name | AISHAH OPAWOYE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/08/2019
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 4511 GREENWOOD RD
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City | BELTSVILLE
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State | MD
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Zip | 20705-2628
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Country | US
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Telephone | 301-537-9142
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Fax |
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Provider Business Mailing Address
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Address Line | 13320 LAUREL BOWIE RD
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City | LAUREL
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State | MD
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Zip | 20708-1508
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Country | US
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Telephone | 301-776-3660
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26804
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License Number State | MD
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