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General NPI Number Information
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NPI Number | 1154239531
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Entity Type | Individual
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Provider Name | ADESHOLA O ADENIJI LGSW
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 445 ETNA ST STE 62
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City | SAINT PAUL
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State | MN
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Zip | 55106-5870
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Country | US
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Telephone | 651-280-2877
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Fax | 651-280-2877
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Provider Business Mailing Address
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Address Line | 401 SIBLEY ST APT 720
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City | SAINT PAUL
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State | MN
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Zip | 55101-1935
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Country | US
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Telephone | 320-223-9906
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 34018
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License Number State | MN
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