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NPI Code Detail

MEDICARE: ADEDOTUN GBAKINRO

MEDICARE: ADEDOTUN GBAKINRO
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
1183700000XPharmacy Technician46199TX

General Provider Information

NPI Number : 1447183827
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADEDOTUN GBAKINRO
Provider Business Mailing Address
First Line : 4330 BULL CREEK RD APT 2418
Second Line :
City : AUSTIN
State : TX
Zip : 78731-5954
Country : US
Telephone Number : 817-350-5468
Fax Number :
Provider Business Practice Location Address
First Line : 2652 LAKE AUSTIN BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78703-4429
Country : US
Telephone Number : 512-474-2001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ ADEDOTUN GBAKINRO ” Practice Location

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