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General NPI Number Information
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NPI Number | 1487951059
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Entity Type | Organization
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Legal Business Name | REMI JAIYEOLA MD PLLC
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 509 E PIKE BLVD SUITE C
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City | WESLACO
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State | TX
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Zip | 78596-4905
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Country | US
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Telephone | 956-627-6020
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Fax | 956-627-6024
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Provider Business Mailing Address
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Address Line | PO BOX 4510
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City | EDINBURG
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State | TX
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Zip | 78540-4510
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Country | US
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Telephone | 956-627-6020
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Fax | 956-627-6024
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. REMI R JAIYEOLA
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Credential | MD
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Telephone | 956-627-6020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | L0476
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License Number State | TX
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