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General NPI Number Information
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NPI Number | 1982314639
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Entity Type | Individual
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Provider Name | ABIMBOLA AWE-OLALEYE
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Gender | Female
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Dates
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Enumeration Date | 12/02/2022
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 1165 SANDERS RD
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City | CUMMING
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State | GA
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Zip | 30041-5965
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Country | US
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Telephone | 470-533-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 2470 WINDY HILL RD SE STE 407
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City | MARIETTA
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State | GA
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Zip | 30067-8624
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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