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General NPI Number Information
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NPI Number | 1013834217
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Entity Type | Individual
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Provider Name | DAVID OLUTOMI ADEYEYE OD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 3110 LORD BALTIMORE DR STE 103
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City | BALTIMORE
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State | MD
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Zip | 21244-2644
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Country | US
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Telephone | 410-277-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 2104 PEACEFUL WAY APT 203
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City | ODENTON
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State | MD
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Zip | 21113-3249
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Country | US
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Telephone | 410-236-4212
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA3153
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License Number State | MD
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