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General NPI Number Information
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NPI Number | 1760684443
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Entity Type | Individual
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Provider Name | OLUFEMI S OLATUNJI BSN,RN,C
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 505 FLORENCE FIELDS LN
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City | NEW CASTLE
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State | DE
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Zip | 19720-8752
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Country | US
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Telephone | 302-323-1892
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Fax | 302-995-1859
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Provider Business Mailing Address
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Address Line | 505 FLORENCE FIELDS LN
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City | NEW CASTLE
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State | DE
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Zip | 19720-8752
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Country | US
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Telephone | 302-323-1892
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Fax | 302-995-1859
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | L10031564
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 540403
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License Number State | NY
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