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General NPI Number Information
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NPI Number | 1407344898
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Entity Type | Individual
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Provider Name | ADEWALE RICHARD ADEGBOYEGA
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Gender | Male
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 13323 VIA TORRE DE PISA LN
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City | CYPRESS
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State | TX
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Zip | 77429-4768
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Country | US
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Telephone | 936-714-4298
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 ROLIDO DR APT 60
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City | HOUSTON
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State | TX
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Zip | 77063-4325
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Country | US
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Telephone | 832-451-7945
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 321756
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License Number State | TX
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