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General NPI Number Information
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NPI Number | 1558637363
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Entity Type | Individual
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Provider Name | DAVID ABOLARIN DADA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 434 W KENNEDY BLVD
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City | ORLANDO
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State | FL
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Zip | 32810-6237
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Country | US
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Telephone | 407-875-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 SW COLLEGE RD STE 4
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City | OCALA
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State | FL
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Zip | 34474-4430
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Country | US
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Telephone | 352-237-5672
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Fax | 352-237-5691
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | ME112290
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME 112290
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License Number State | FL
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