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General NPI Number Information
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NPI Number | 1821958729
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Entity Type | Organization
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Legal Business Name | GLORY PEDIATRICS, LLC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 4696 MILLENNIUM DR STE 110
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City | BELCAMP
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State | MD
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Zip | 21017-1556
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Country | US
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Telephone | 410-299-4912
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Fax |
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Provider Business Mailing Address
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Address Line | 196 CHIMNEY OAK DR
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City | JOPPA
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State | MD
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Zip | 21085-4768
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | OYEBUKOLA AJIKE OYEDIRAN
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Credential | MD
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Telephone | 443-743-9572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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