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General NPI Number Information
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NPI Number | 1548905169
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Entity Type | Individual
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Provider Name | OYINDAMOLA AJOKE TUNDE-BYASS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1500 PONTIAC AVE STE 101
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City | CRANSTON
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State | RI
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Zip | 02920-4486
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Country | US
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Telephone | 401-944-4300
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Fax | 401-464-4071
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Provider Business Mailing Address
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Address Line | 10 DAVOL SQ STE 300
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City | PROVIDENCE
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State | RI
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Zip | 02903-4754
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Country | US
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Telephone | 401-444-6779
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Fax | 401-444-6912
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD20736
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License Number State | RI
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