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General NPI Number Information
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NPI Number | 1063166809
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Entity Type | Individual
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Provider Name | STELLA AJAYI-ADEDIRAN NP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 11645 S HIGHWAY 6 # 1023
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City | SUGAR LAND
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State | TX
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Zip | 77498-1302
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Country | US
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Telephone | 832-405-4402
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Fax | 503-549-9493
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Provider Business Mailing Address
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Address Line | 7615 AIMUA CT
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City | HOUSTON
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State | TX
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Zip | 77083-3741
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Country | US
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Telephone | 713-303-5698
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1070382
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202214096NP-PP
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License Number State | OR
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