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NPI Code Detail

MEDICARE: OPEYEMI OLADOKUN

MEDICARE: OPEYEMI OLADOKUN
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
1374U00000XHome Health AideHHA15339DC

General Provider Information

NPI Number : 1952975112
Entity Type Code : Individual
Provider Name (Legal Business Name) : OPEYEMI OLADOKUN
Provider Business Mailing Address
First Line : 3405 DODGE PARK RD APT 103
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3405 DODGE PARK RD APT 103
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2013
Country : US
Telephone Number : 202-600-6632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2021
Last Update Date : 05/13/2021

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Directions to “ OPEYEMI OLADOKUN ” Practice Location

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