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General NPI Number Information
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NPI Number | 1639052384
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Entity Type | Individual
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Provider Name | LYDIA DAOPUYE MD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 611 W PARK ST
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City | URBANA
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State | IL
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Zip | 61801-2501
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Country | US
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Telephone | 217-549-6585
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Fax |
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Provider Business Mailing Address
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Address Line | 1359 N LINCOLN AVE APT 3075A
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City | URBANA
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State | IL
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Zip | 61801-8605
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Country | US
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Telephone | 447-895-5548
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.085968
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License Number State | IL
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