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NPI 1740729334

NPI 1740729334 : TAIWO EMIOLA NP : NEW PORT RICHEY, FL

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General NPI Number Information
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    NPI Number           |    1740729334
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    Entity Type          |    Individual 
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    Provider Name        |    TAIWO EMIOLA NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/16/2017
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    Last Update Date     |    03/19/2025
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Provider Practice Location Address
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    Address Line         |    8002 KING HELIE BLVD 
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    City                 |    NEW PORT RICHEY
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    State                |    FL
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    Zip                  |    34653
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    Country              |    US
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    Telephone            |    727-841-4200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8002 KING HELIE BLVD 
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    City                 |    NEW PORT RICHEY
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    State                |    FL
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    Zip                  |    34653-1435
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    Country              |    US
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    Telephone            |    866-762-1743
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    GAA-NP001975
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    GAA-NP001975
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    364SF0001X
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    Taxonomy Name        |    Family Health Clinical Nurse Specialist
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    License Number       |    9321412
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    9321412
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    License Number State |    FL
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