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General NPI Number Information
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NPI Number | 1851772107
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Entity Type | Individual
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Provider Name | OLAMIJI FOLAKE ADEPARUSI PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 8122 DATAPOINT DR STE 1003
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3273
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Country | US
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Telephone | 210-261-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 PARK TEN BLVD STE 200S
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City | SAN ANTONIO
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State | TX
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Zip | 78213-4293
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Country | US
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Telephone | 210-261-1060
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Fax | 210-261-1821
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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 | 980339
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95312747
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R185418
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1036685
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R185418
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11007744
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | R185418
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP134020
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License Number State | TX
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