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General NPI Number Information
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NPI Number | 1699929307
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Entity Type | Organization
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Legal Business Name | MICHAEL O. OLATUNJI, M.D., P.A.
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 12031 ASHAWAY LN
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City | FRISCO
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State | TX
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Zip | 75035-6996
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Country | US
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Telephone | 214-995-6244
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Fax | 972-216-9580
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Provider Business Mailing Address
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Address Line | 12031 ASHAWAY LN
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City | FRISCO
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State | TX
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Zip | 75035-6996
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Country | US
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Telephone | 214-995-6244
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Fax | 972-216-9580
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL O OLANTUNJI
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Credential | M.D.
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Telephone | 214-995-6244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M1276
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License Number State | TX
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