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General NPI Number Information
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NPI Number | 1306209143
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Entity Type | Individual
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Provider Name | MOSOPEFOLUWA ILUFOYE M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1838 GREENE TREE RD STE 260
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City | PIKESVILLE
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State | MD
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Zip | 21208-7108
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Country | US
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Telephone | 410-486-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 LEGACY DR STE 100
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City | FRISCO
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State | TX
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Zip | 75034-5984
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Country | US
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Telephone | 469-209-8355
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | DO104678
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License Number State | MD
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