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General NPI Number Information
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NPI Number | 1669073029
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Entity Type | Individual
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Provider Name | BABATUNDE SAFIRIYU ADAMS CNS, CNP
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Gender | Male
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 3601 MINNESOTA DR STE 170
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City | BLOOMINGTON
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State | MN
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Zip | 55435-5202
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Country | US
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Telephone | 612-915-0049
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Fax |
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Provider Business Mailing Address
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Address Line | 13543 CARLINGFORD WAY
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City | ROSEMOUNT
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State | MN
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Zip | 55068-6306
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Country | US
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Telephone | 651-468-8756
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 547
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License Number State | MN
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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 | 11078
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License Number State | MN
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