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General NPI Number Information
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NPI Number | 1801679717
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Entity Type | Organization
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Legal Business Name | PY HEALTHCARE LLC
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 401 E SONTERRA BLVD STE 375
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4321
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Country | US
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Telephone | 210-319-4896
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Fax |
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Provider Business Mailing Address
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Address Line | 28803 BULLS POND
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City | BOERNE
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State | TX
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Zip | 78015-2201
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Country | US
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Telephone | 267-255-2648
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. OLOYEDE OLALOWO
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Credential | MD
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Telephone | 601-572-4156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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