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General NPI Number Information
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NPI Number | 1891290797
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Entity Type | Individual
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Provider Name | ROLAKE OLUWASEUN ALABI MD PHD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2018
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 801 W 38TH ST STE 200
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City | AUSTIN
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State | TX
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Zip | 78705-1169
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Country | US
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Telephone | 512-451-0103
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Fax | 512-451-2741
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Provider Business Mailing Address
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Address Line | 1512 W 35TH ST STE 200
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City | AUSTIN
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State | TX
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Zip | 78703-1437
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Country | US
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Telephone | 512-451-0103
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Fax | 512-451-2741
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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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | V2429
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | V2429
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License Number State | TX
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