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General NPI Number Information
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NPI Number | 1508126442
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Entity Type | Organization
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Legal Business Name | AYO ADU M D PLLC
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Dates
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Enumeration Date | 05/25/2012
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 9410 NE ZAC LENTZ PARKWAY SUITE 200
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City | VICTORIA
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State | TX
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Zip | 77904
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Country | US
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Telephone | 361-582-7900
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Fax | 361-582-7902
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Provider Business Mailing Address
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Address Line | 9410 NE ZAC LENTZ PARKWAY SUITE 200
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City | VICTORIA
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State | TX
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Zip | 77904
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Country | US
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Telephone | 361-582-7900
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Fax | 361-582-7902
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. AYO ADU
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Credential |
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Telephone | 361-582-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | P1256
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License Number State | TX
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