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General NPI Number Information
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NPI Number | 1124989025
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Entity Type | Individual
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Provider Name | ALAIN AYODEJI AWOSIKA
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Gender | Male
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1767 RUBY DR
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City | PINGREE GROVE
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State | IL
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Zip | 60140-2108
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Country | US
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Telephone | 224-428-9215
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Fax |
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Provider Business Mailing Address
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Address Line | 1767 RUBY DR
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City | PINGREE GROVE
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State | IL
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Zip | 60140-2108
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209033985
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License Number State | IL
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