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General NPI Number Information
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NPI Number | 1033086749
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Entity Type | Individual
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Provider Name | FOLASADE DAIRO
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Gender | Female
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1509 ARCH ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-3528
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Country | US
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Telephone | 484-908-2297
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Fax |
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Provider Business Mailing Address
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Address Line | 400 GOODYS LN
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City | KNOXVILLE
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State | TN
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Zip | 37922-1914
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Country | US
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Telephone |
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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 | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | L1-0049597
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License Number State | DE
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