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General NPI Number Information
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NPI Number | 1588999411
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Entity Type | Organization
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Legal Business Name | ABIODUN KUTEMI
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 10315 W AIRPORT BLVD STE 8
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City | STAFFORD
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State | TX
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Zip | 77477-3343
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Country | US
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Telephone | 281-495-9838
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Fax |
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Provider Business Mailing Address
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Address Line | 10315 W AIRPORT BLVD STE 8
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City | STAFFORD
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State | TX
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Zip | 77477-3343
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Country | US
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Telephone | 281-495-9838
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. ABIODUN KUTEMI
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Credential |
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Telephone | 281-495-9838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1000165
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License Number State | TX
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