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General NPI Number Information
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NPI Number | 1659687523
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Entity Type | Organization
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Legal Business Name | A- AJAYI MD, PLLC
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Dates
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Enumeration Date | 08/29/2010
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | 8965 S PECOS RD SUITE 10B
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City | HENDERSON
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State | NV
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Zip | 89074-7158
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Country | US
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Telephone | 702-826-4942
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Fax | 702-826-2191
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Provider Business Mailing Address
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Address Line | 8965 S PECOS RD SUITE 10B
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City | HENDERSON
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State | NV
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Zip | 89074-7158
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Country | US
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Telephone | 702-826-4942
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Fax | 702-826-2191
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADEKUNLE AJAYI
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Credential | MD
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Telephone | 702-826-4942
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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 | NV10724
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License Number State | NV
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