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General NPI Number Information
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NPI Number | 1295947026
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Entity Type | Individual
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Provider Name | DORCAS IYABO ADEPOJU MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 1 HAVEN FOR HOPE WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78207-1108
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Country | US
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Telephone | 210-220-2478
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Fax | 210-220-2444
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Provider Business Mailing Address
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Address Line | 1 HAVEN FOR HOPE WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78207-1108
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Country | US
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Telephone | 210-220-2478
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Fax | 210-220-2444
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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 | E-6570
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | N6129
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 04-32801
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License Number State | KS
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