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General NPI Number Information
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NPI Number | 1659365245
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Entity Type | Individual
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Provider Name | KUDUS K AKINDE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 3365 S 103RD ST STE 100
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City | MILWAUKEE
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State | WI
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Zip | 53227-4162
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Country | US
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Telephone | 414-321-3951
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Fax | 414-321-8307
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Provider Business Mailing Address
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Address Line | 3365 S 103RD ST STE 100
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City | MILWAUKEE
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State | WI
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Zip | 53227-4162
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Country | US
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Telephone | 414-321-3951
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Fax | 414-321-8307
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-114318
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 21720-875
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License Number State | WI
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