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General NPI Number Information
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NPI Number | 1194466151
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Entity Type | Individual
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Provider Name | OMOYEME A EDAKI MD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 10300 SW 216TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33190-1003
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Country | US
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Telephone | 305-252-5899
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Fax |
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Provider Business Mailing Address
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Address Line | 9402 SW 171ST AVE
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City | MIAMI
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State | FL
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Zip | 33196-2976
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Country | US
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Telephone | 832-533-5319
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 169785
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License Number State | FL
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