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General NPI Number Information
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NPI Number | 1396796116
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Entity Type | Individual
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Provider Name | WILNELSIA A AWONIYI DPM
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 2009 WESTMEAD ST SW
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City | DECATUR
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State | AL
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Zip | 35601-4629
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Country | US
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Telephone | 256-323-1289
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Fax | 866-594-7549
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Provider Business Mailing Address
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Address Line | 56 HUGHES RD UNIT 1792
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City | MADISON
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State | AL
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Zip | 35758-6573
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Country | US
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Telephone | 256-335-2778
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Fax | 866-223-6822
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 290
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 00307
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License Number State | KY
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