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General NPI Number Information
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NPI Number | 1851238950
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Entity Type | Organization
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Legal Business Name | BLUEOAK PSYCHIATRY PLLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 622 COLOSSEO WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78253-5687
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Country | US
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Telephone | 210-868-4788
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Fax |
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Provider Business Mailing Address
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Address Line | 622 COLOSSEO WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78253-5687
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Country | US
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Telephone | 210-868-4788
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Fax |
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Authorized Official
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Title or Position | MRS
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Name | TUMININU MARGARET ADELEKE
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Credential |
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Telephone | 210-906-3102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health 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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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