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General NPI Number Information
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NPI Number | 1952265522
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Entity Type | Individual
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Provider Name | OLAJUMOKE OLUWAYEMISI ALEX JIMOH
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1135 OLDE W CHOCOLATE AVE
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City | HUMMELSTOWN
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State | PA
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Zip | 17036-9188
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Country | US
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Telephone | 717-832-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 QUAIL HOLLOW RD
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City | HARRISBURG
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State | PA
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Zip | 17112-1940
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Country | US
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Telephone | 240-528-0059
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTO33789
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License Number State | PA
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