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General NPI Number Information
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NPI Number | 1255738068
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Entity Type | Organization
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Legal Business Name | FEMI LAYIWOLA, MD, PA
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 4002 PAREDES LINE RD STE 26
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City | BROWNSVILLE
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State | TX
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Zip | 78526-1375
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Country | US
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Telephone | 956-465-0626
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Fax | 877-346-1789
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Provider Business Mailing Address
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Address Line | PO BOX 530654
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City | HARLINGEN
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State | TX
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Zip | 78553-0654
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Country | US
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Telephone | 956-465-0626
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Fax | 877-346-1789
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | FEMI LAYIWOLA
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Credential | MD
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Telephone | 956-465-0626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M4268
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License Number State | TX
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