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General NPI Number Information
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NPI Number | 1760125751
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Entity Type | Individual
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Provider Name | OLUWATONI ARINOLA OKUBOYEJO MD
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Gender | Female
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 13114 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-4290
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Country | US
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Telephone | 281-890-6446
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Fax |
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Provider Business Mailing Address
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Address Line | 833 CHESTNUT ST STE 301
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4405
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Country | US
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Telephone | 215-955-2363
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD486736
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | V6661
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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