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General NPI Number Information
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NPI Number | 1306294699
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Entity Type | Individual
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Provider Name | OLAYINKA EDWARDS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2016
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 201 N MOUNTAIN RD STE 203
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City | PLAINVILLE
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State | CT
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Zip | 06062-1848
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Country | US
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Telephone | 860-827-4199
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Fax | 860-827-4198
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HIGHWAY HHC - CVO
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4338
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 304587
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 79419
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License Number State | CT
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