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General NPI Number Information
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NPI Number | 1952676595
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Entity Type | Individual
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Provider Name | OLAJUMOKE DADA FNP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 04/10/2020
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Provider Practice Location Address
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Address Line | FAMILY SURE HEALTH CLINIC 9207 COUNTRY CREEK ST. SUITE 105
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 281-888-9458
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Fax |
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Provider Business Mailing Address
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Address Line | 20133 ANNA BLUE CREST CT
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City | BROOKSHIRE
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State | TX
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Zip | 77423-2728
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Country | US
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Telephone | 718-666-5873
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP142602
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License Number State | TX
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