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NPI 1811181696

NPI 1811181696 : SOSUNMOLU OPEMEMI SHOYINKA MD, MBA : KING OF PRUSSIA, PA

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General NPI Number Information
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    NPI Number           |    1811181696
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    Entity Type          |    Individual 
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    Provider Name        |    SOSUNMOLU OPEMEMI SHOYINKA MD, MBA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/05/2007
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    Last Update Date     |    03/16/2026
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Provider Practice Location Address
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    Address Line         |    150 S WARNER RD STE 130 
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    City                 |    KING OF PRUSSIA
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    State                |    PA
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    Zip                  |    19406-2830
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    Country              |    US
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    Telephone            |    610-400-4885
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    Fax                  |    610-273-5542
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Provider Business Mailing Address
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    Address Line         |    150 S WARNER RD STE 130 
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    City                 |    KING OF PRUSSIA
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    State                |    PA
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    Zip                  |    19406-2830
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    Country              |    US
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    Telephone            |    610-400-4885
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    Fax                  |    610-273-5542
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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       |    0437211
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    2010014088
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    License Number State |    MO
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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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Taxonomy #4
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    61826
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    License Number State |    AZ
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Taxonomy #5
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MD468458
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    License Number State |    PA
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Taxonomy #6
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    4301500734
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    License Number State |    MI
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Taxonomy #7
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    20693
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    License Number State |    ND
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