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General NPI Number Information
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NPI Number | 1811179013
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Entity Type | Organization
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Legal Business Name | BABAJIDE OGUNLANA, DPM, PLLC
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 4502 RIVERSTONE BLVD STE 1403
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City | MISSOURI CITY
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State | TX
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Zip | 77459-5206
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Country | US
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Telephone | 281-778-5560
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Fax | 281-677-4145
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Provider Business Mailing Address
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Address Line | 4502 RIVERSTONE BLVD STE 1403
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City | MISSOURI CITY
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State | TX
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Zip | 77459-5206
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Country | US
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Telephone | 281-778-5560
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Fax | 281-677-4145
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Authorized Official
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Title or Position | CEO
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Name | DR. BABAJIDE A OGUNLANA
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Credential | DPM
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Telephone | 281-778-5560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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