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General NPI Number Information
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NPI Number | 1508651043
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Entity Type | Individual
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Provider Name | ADERONKE I FABAYO
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Gender | Female
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 5724 GREEN ST # 246
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City | BROWNSBURG
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State | IN
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Zip | 46112-1471
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Country | US
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Telephone | 317-489-2859
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Fax | 317-932-8076
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Provider Business Mailing Address
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Address Line | 9250 BRATTON CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46234-1680
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Country | US
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Telephone | 317-489-2859
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Fax | 317-932-8076
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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