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General NPI Number Information
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NPI Number | 1699623983
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Entity Type | Individual
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Provider Name | ABEFE BABATUNDE ODUNTAN
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Gender | Male
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 16555 SOUTHWEST FWY
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City | SUGAR LAND
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State | TX
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Zip | 77479-2668
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Country | US
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Telephone | 281-274-7958
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Fax | 281-274-8631
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Provider Business Mailing Address
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Address Line | 822 MODESTO DR
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City | ROSHARON
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State | TX
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Zip | 77583-1944
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Country | US
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Telephone | 281-274-7958
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Fax | 281-274-8631
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 1229519
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License Number State | TX
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