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General NPI Number Information
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NPI Number | 1558971879
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Entity Type | Individual
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Provider Name | ADEOLA ADEBIYI
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Gender | Female
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Dates
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Enumeration Date | 08/01/2020
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 926 MAIN ST
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City | NASHVILLE
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State | TN
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Zip | 37206-3614
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Country | US
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Telephone | 615-436-9060
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Fax | 615-235-9725
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Provider Business Mailing Address
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Address Line | 3100 WESLAYAN ST STE 380
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City | HOUSTON
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State | TX
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Zip | 77027-5736
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Country | US
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Telephone | 281-909-7000
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 831703
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1018454
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License Number State | TX
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