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General NPI Number Information
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NPI Number | 1588281596
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Entity Type | Individual
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Provider Name | DOREEN OLAYEMI ADEEKO NP
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Gender | Female
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Dates
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Enumeration Date | 06/26/2020
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 5702 LAVON DR
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City | GARLAND
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State | TX
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Zip | 75040-3126
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Country | US
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Telephone | 972-495-5595
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Fax |
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Provider Business Mailing Address
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Address Line | 1802 GOODNIGHT LN
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City | ALLEN
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State | TX
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Zip | 75002-1512
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Country | US
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Telephone | 214-223-4746
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP141328
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License Number State | TX
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