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General NPI Number Information
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NPI Number | 1467335117
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Entity Type | Individual
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Provider Name | ADENIYI SUNDAY FALODUN
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 2501 SMITH AVE
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City | BALTIMORE
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State | MD
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Zip | 21209-2505
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Country | US
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Telephone | 410-205-9493
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Fax |
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Provider Business Mailing Address
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Address Line | 4503 SPRINGWATER CT APT B
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City | OWINGS MILLS
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State | MD
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Zip | 21117-7621
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Country | US
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Telephone | 443-640-8382
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 25-457706
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License Number State | MD
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