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General NPI Number Information
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NPI Number | 1609416239
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Entity Type | Individual
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Provider Name | TEMITOPE OLUWAWEMIMO ADEYEMI
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Gender | Female
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Dates
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Enumeration Date | 01/11/2020
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Last Update Date | 01/11/2020
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Provider Practice Location Address
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Address Line | 7777 FOREST LN STE C840
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City | DALLAS
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State | TX
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Zip | 75230-2594
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Country | US
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Telephone | 972-566-8223
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 496801
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City | GARLAND
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State | TX
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Zip | 75049-6801
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Country | US
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Telephone | 469-878-3514
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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 | AP142902
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License Number State | TX
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