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General NPI Number Information
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NPI Number | 1912228800
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Entity Type | Individual
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Provider Name | OLUBUNMI TEMITOPE OGUNLEYE MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 1234 WAGNER ST
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City | HOUSTON
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State | TX
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Zip | 77007-3719
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Country | US
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Telephone | 713-868-3301
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Fax | 713-868-4817
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Provider Business Mailing Address
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Address Line | 1234 WAGNER ST
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City | HOUSTON
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State | TX
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Zip | 77007-3719
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Country | US
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Telephone | 713-868-3301
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Fax | 713-868-4817
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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 | N6545
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License Number State | TX
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