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General NPI Number Information
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NPI Number | 1831548213
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Entity Type | Individual
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Provider Name | OLUWOLE PITAN ARNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 9835 E HIBISCUS ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5406
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Country | US
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Telephone | 305-238-8561
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Fax | 305-238-4089
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Provider Business Mailing Address
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Address Line | 10122 SW 139TH ST
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City | MIAMI
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State | FL
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Zip | 33176-6682
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Country | US
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Telephone | 786-201-6249
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Fax |
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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 | 9328218
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9328218
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number | 9328218
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9328218
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License Number State | FL
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