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General NPI Number Information
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NPI Number | 1740557818
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Entity Type | Individual
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Provider Name | ODUNOLA GEORGE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 6486 W LITTLE YORK RD
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City | HOUSTON
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State | TX
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Zip | 77091-1110
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Country | US
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Telephone | 713-957-8185
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Fax |
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Provider Business Mailing Address
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Address Line | 6415 NOKOMIS CT
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City | MOUNT PLEASANT
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State | WI
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Zip | 53406-5296
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Country | US
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Telephone | 773-297-2139
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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 | 15464-40
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 52714
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License Number State | TX
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