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General NPI Number Information
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NPI Number | 1326883240
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Entity Type | Individual
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Provider Name | BAMIDELE A ADETUNJI
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Gender | Female
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Dates
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Enumeration Date | 07/01/2024
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 608 J ST
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City | MARYSVILLE
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State | CA
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Zip | 95901-5413
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Country | US
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Telephone | 530-749-4180
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Fax | 530-740-5150
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Provider Business Mailing Address
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Address Line | 3399 S EASTERN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89169-3312
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Country | US
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Telephone | 702-444-0438
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 882337
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN41231
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN70706
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN307537
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN656881
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95019581
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License Number State | CA
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