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General NPI Number Information
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NPI Number | 1932621224
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Entity Type | Individual
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Provider Name | OLUBUNMI OLUSADA DDS
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Gender | Female
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Dates
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Enumeration Date | 07/09/2017
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 6428 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20012-2910
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Country | US
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Telephone | 202-723-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 4390 KING ST APT 505
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1542
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Country | US
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Telephone | 703-403-3701
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401416258
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 51157
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN2001595
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License Number State | DC
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