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General NPI Number Information
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NPI Number | 1114897709
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Entity Type | Individual
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Provider Name | COMFORT YETUNDE ORUNGBAMADE RPH
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Gender | Female
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 2774 E ELDORADO PKWY
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City | LITTLE ELM
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State | TX
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Zip | 75068-5998
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Country | US
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Telephone | 972-987-4106
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Fax | 972-987-4138
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Provider Business Mailing Address
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Address Line | 11107 STARLING CREEK DR
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City | RICHMOND
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State | TX
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Zip | 77406-4367
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Country | US
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Telephone | 972-987-4106
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Fax | 972-987-4138
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 76502
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License Number State | TX
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