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General NPI Number Information
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NPI Number | 1639737273
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Entity Type | Individual
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Provider Name | ADEDEJI A ONITIRI MD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 11750 E COLONIAL DR STE 100
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City | ORLANDO
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State | FL
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Zip | 32817-4656
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Country | US
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Telephone | 844-665-4827
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Fax |
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Provider Business Mailing Address
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Address Line | 14667 GLADE HILL PARK WAY
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City | WINTER GARDEN
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State | FL
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Zip | 34787-3264
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Country | US
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Telephone | 352-804-5191
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN1164
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 21352
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License Number State | PR
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