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General NPI Number Information
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NPI Number | 1649066721
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Entity Type | Organization
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Legal Business Name | ADERONKE AKANDE CORPORATION
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 35787 BUTCHART ST
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City | WILDOMAR
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State | CA
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Zip | 92595-7636
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Country | US
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Telephone | 209-486-2590
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Fax |
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Provider Business Mailing Address
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Address Line | 1968 S COAST HWY STE 3019
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-3681
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Country | US
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Telephone | 209-486-2590
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADERONKE AKANDE
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Credential |
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Telephone | 279-218-1875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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