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General NPI Number Information
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NPI Number | 1467417592
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Entity Type | Individual
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Provider Name | DANITA H. AKINGBA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 26400 W 12 MILE RD SUITE 140
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1700
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Country | US
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Telephone | 248-352-8200
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Fax | 248-356-8255
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Provider Business Mailing Address
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Address Line | 1560 E MAPLE RD SUITE 400 CREDENTIALING
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City | TROY
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State | MI
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Zip | 48083-1138
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Country | US
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Telephone | 248-352-8200
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Fax | 248-356-8255
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01066710A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2008013226
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 4301091011
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License Number State | MI
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