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NPI Code Detail

MEDICARE: MR. OLUFEMI ODUKOYA

MEDICARE:  MR. OLUFEMI  ODUKOYA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker16030MD

General Provider Information

NPI Number : 1124335971
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. OLUFEMI ODUKOYA
Provider Business Mailing Address
First Line : 6400 OLD CHAPEL TER
Second Line :
City : BOWIE
State : MD
Zip : 20720-4609
Country : US
Telephone Number : 301-583-0001
Fax Number :
Provider Business Practice Location Address
First Line : 6400 OLD CHAPEL TER
Second Line :
City : BOWIE
State : MD
Zip : 20720-4609
Country : US
Telephone Number : 301-583-0001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2010
Last Update Date : 08/31/2010

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Directions to “ MR. OLUFEMI ODUKOYA ” Practice Location

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