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General NPI Number Information
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NPI Number | 1639095169
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Entity Type | Organization
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Legal Business Name | REHOBOTH MEDICAL GROUP
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 671 HIGHLAND PARK AVE
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City | CORALVILLE
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State | IA
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Zip | 52241-3366
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Country | US
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Telephone | 919-255-2670
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Fax | 919-255-2670
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Provider Business Mailing Address
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Address Line | 671 HIGHLAND PARK AVE
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City | CORALVILLE
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State | IA
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Zip | 52241-3366
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Country | US
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Telephone | 919-255-2670
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Fax | 919-255-2670
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. AYOTUNDE O DOKUN
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Credential | MD PHD
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Telephone | 919-255-2670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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