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General NPI Number Information
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NPI Number | 1922635523
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Entity Type | Individual
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Provider Name | ELIZABETH OGUNSANYA MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1 BROOKDALE PLZ
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City | BROOKLYN
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State | NY
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Zip | 11212-3139
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Country | US
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Telephone | 718-240-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 8 S EXETER ST
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City | BALTIMORE
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State | MD
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Zip | 21202-4628
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Country | US
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Telephone | 301-758-1390
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 336151
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License Number State | NY
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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 | D0102985
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | D0102985
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 336151
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0102985
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 336151
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License Number State | NY
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