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General NPI Number Information
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NPI Number | 1972327617
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Entity Type | Individual
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Provider Name | OLUWAKEMI FAGBUYI MSN, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 6490 LANDOVER RD STE F6
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City | CHEVERLY
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State | MD
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Zip | 20785-1443
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Country | US
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Telephone | 202-487-9587
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Fax | 240-770-7529
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Provider Business Mailing Address
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Address Line | 4623 MORNING GLORY TRL
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City | BOWIE
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State | MD
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Zip | 20720-4264
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Country | US
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Telephone | 202-487-9587
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Fax | 240-770-7529
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R239812
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R239812
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License Number State | MD
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