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General NPI Number Information
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NPI Number | 1538809751
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Entity Type | Individual
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Provider Name | TEMILOLUWA ADEJUYIGBE MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 1301 W 38TH ST STE 705
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City | AUSTIN
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State | TX
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Zip | 78705-1016
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 8204 BARRYMOORE LN
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City | PLANO
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State | TX
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Zip | 75025-5532
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Country | US
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Telephone | 214-517-4239
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 744786
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License Number State | TX
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