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General NPI Number Information
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NPI Number | 1881958577
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Entity Type | Individual
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Provider Name | ADENIKE ODUNMBAKU M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 1895 BRIGHTSEAT RD
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City | LANDOVER
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State | MD
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Zip | 20785-4250
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Country | US
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Telephone | 301-909-4000
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Fax | 301-909-4001
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Provider Business Mailing Address
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Address Line | 1895 BRIGHTSEAT RD
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City | LANDOVER
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State | MD
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Zip | 20785-4250
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Country | US
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Telephone | 301-909-4000
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Fax | 301-909-4001
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | D0080827
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD043817
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License Number State | DC
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