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General NPI Number Information
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NPI Number | 1427103399
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Entity Type | Individual
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Provider Name | ADELEKE ADONIS OYEMADE CRNA, DNP
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 673RD MEDICAL GROUP 5955 ZEAMER AVE
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City | JBER
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State | AK
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Zip | 99506
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Country | US
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Telephone | 907-580-3104
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Fax |
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Provider Business Mailing Address
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Address Line | 673RD MDG 5955 ZEAMER AVE
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City | JBER
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State | AK
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Zip | 99506
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Country | US
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Telephone | 907-580-3104
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 676455
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 221109
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 3619
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 680124
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041-302400
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 100018-C
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 676455
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3619
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 221109
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License Number State | AK
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