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General NPI Number Information
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NPI Number | 1164562021
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Entity Type | Individual
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Provider Name | ABAYOMI RASHEED KUFORIJI DPT
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 20770 GREENFIELD RD
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City | OAK PARK
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State | MI
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Zip | 48237-3018
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Country | US
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Telephone | 248-968-2892
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Fax | 248-968-2848
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Provider Business Mailing Address
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Address Line | 16915 LIVERNOIS AVE
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City | DETROIT
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State | MI
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Zip | 48221-3058
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Country | US
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Telephone | 248-701-3426
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501005279
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License Number State | MI
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