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General NPI Number Information
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NPI Number | 1992204937
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Entity Type | Individual
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Provider Name | BABATUNDE OLUSEGUN AKINYEMI FNP-C/PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 11/26/2021
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Provider Practice Location Address
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Address Line | 100 S MARKET ST
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City | FREDERICK
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State | MD
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Zip | 21701-5527
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Country | US
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Telephone | 202-288-7630
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Fax |
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Provider Business Mailing Address
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Address Line | 6115 85TH PL
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-2843
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Country | US
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Telephone | 202-288-7630
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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 | R200780
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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 | R200780
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License Number State | MD
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