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General NPI Number Information
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NPI Number | 1225261035
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Entity Type | Individual
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Provider Name | YETUNDE ADENLE
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Gender | Female
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 955 E WONDER RD
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City | STAFFORD
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State | VA
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Zip | 22554-7798
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Country | US
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Telephone | 540-741-7893
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Fax | 540-741-9778
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Provider Business Mailing Address
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Address Line | 13555 W MCDOWELL RD SUITE 205
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City | GOODYEAR
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State | AZ
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Zip | 85395-2624
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Country | US
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Telephone | 623-535-0740
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Fax | 623-512-4460
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301095370
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101262797
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License Number State | VA
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