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General NPI Number Information
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NPI Number | 1154081412
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Entity Type | Organization
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Legal Business Name | AKIN AYENI MD AND ASSOCIATES INC
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Dates
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Enumeration Date | 12/28/2021
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 1870 THE EXCHANGE SE STE 200
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City | ATLANTA
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State | GA
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Zip | 30339-2021
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Country | US
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Telephone | 770-829-7442
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 THE EXCHANGE SE STE 20026
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City | ATLANTA
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State | GA
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Zip | 30339-2036
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Country | US
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Telephone | 770-829-7442
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AKINLAWON AYENI
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Credential | MD
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Telephone | 770-829-7442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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