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General NPI Number Information
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NPI Number | 1649086315
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Entity Type | Individual
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Provider Name | NATHANAEL AREMU AKINPELU
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Gender | Male
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 520 CEDAR ST
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City | SYRACUSE
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State | NY
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Zip | 13210-2302
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Country | US
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Telephone | 315-426-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 5882 TULLER RD
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City | CICERO
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State | NY
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Zip | 13039-8656
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Country | US
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Telephone | 315-515-1185
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 655867
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F406852-01
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License Number State | NY
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