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General NPI Number Information
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NPI Number | 1902543374
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Entity Type | Individual
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Provider Name | OLUWAGBENGA MICHAEL OPANUGA APRN - PMHNP
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Gender | Male
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1976 GARDEN AVE
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City | EUGENE
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State | OR
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Zip | 97403-1933
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Country | US
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Telephone | 541-255-1411
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Fax | 541-255-1412
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Provider Business Mailing Address
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Address Line | 1976 GARDEN AVE
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City | EUGENE
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State | OR
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Zip | 97403-1933
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Country | US
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Telephone | 541-255-1411
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Fax | 541-255-1412
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN95280648
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License Number State | CA
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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 | 81552
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10042777
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License Number State | OR
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