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General NPI Number Information
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NPI Number | 1649545211
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Entity Type | Individual
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Provider Name | FRANCIS O BADEJOKO DDS
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Gender | Male
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 4239 HOLLAND RD STE 762A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1943
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Country | US
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Telephone | 467-566-5757
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Fax |
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Provider Business Mailing Address
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Address Line | 9928 E ALABAMA DR APARTMENT 1711
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City | DENVER
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State | CO
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Zip | 80247-6339
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Country | US
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Telephone | 720-272-1351
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DD5001
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10645
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401417359
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License Number State | VA
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