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General NPI Number Information
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NPI Number | 1265587869
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Entity Type | Individual
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Provider Name | SAINT ADEOGBA M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | COMPREHENSIVE WELLNESS CENTER 8801 W MARKHAM STREET, SUITE 2
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2343
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Country | US
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Telephone | 501-954-8800
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Fax | 844-205-9825
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Provider Business Mailing Address
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Address Line | 8801 W MARKHAM ST STE 2
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2343
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Country | US
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Telephone | 501-954-8800
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Fax | 501-954-8806
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 39020000X
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | E-8983
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License Number State | AR
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