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General NPI Number Information
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NPI Number | 1447114996
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Entity Type | Individual
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Provider Name | DAMILOLA FASUGBA ADENIJI NP
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Gender | Female
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 5202 BALTIMORE NATIONAL PIKE
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City | BALTIMORE
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State | MD
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Zip | 21229-1022
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Country | US
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Telephone | 410-200-9817
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Fax |
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Provider Business Mailing Address
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Address Line | 2019 STILLWATER RD SYKESVILLE
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City | SYKESVILLE
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State | MD
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Zip | 21784-6634
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Country | US
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Telephone | 301-266-1378
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R214179
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License Number State | MD
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