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General NPI Number Information
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NPI Number | 1922378835
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Entity Type | Individual
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Provider Name | MRS. BUKOLA OLUWATOYIN OLAJIDE
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Gender | Female
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 10/27/2017
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Provider Practice Location Address
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Address Line | 1508 PARKWAY LN
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City | ARLINGTON
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State | TX
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Zip | 76010-5958
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Country | US
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Telephone | 214-400-8683
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Fax |
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Provider Business Mailing Address
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Address Line | 1508 PARKWAY LN
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City | ARLINGTON
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State | TX
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Zip | 76010-5958
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Country | US
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Telephone | 214-400-8683
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Fax |
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NA08774052
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 340183
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License Number State | TX
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