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General NPI Number Information
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NPI Number | 1649110206
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Entity Type | Individual
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Provider Name | SALIU AJEDOTUN SHITTU MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 1 BROOKDALE PLZ
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City | BROOKLYN
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State | NY
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Zip | 11212-3139
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Country | US
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Telephone | 718-613-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2414 WAYBREAD LN
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City | ROSENBERG
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State | TX
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Zip | 77471-3082
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Country | US
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Telephone | 346-287-0136
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1679787998
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License Number State | NY
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