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General NPI Number Information
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NPI Number | 1417995978
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Entity Type | Individual
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Provider Name | BAMIDELE ANUOLUWA AJAYI MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 13425 HOOVER CREEK BLVD STE 101
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City | CHARLOTTE
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State | NC
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Zip | 28273
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Country | US
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Telephone | 704-384-1246
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Fax | 704-384-6072
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 704-384-1246
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Fax | 704-384-6072
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 259100
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 2016-00983
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 259100
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2016-00983
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License Number State | NC
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