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General NPI Number Information
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NPI Number | 1689295420
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Entity Type | Individual
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Provider Name | ADESOLA FOLASADE OYEWOLE
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Gender | Female
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 6300 WEST LOOP S STE 410
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City | BELLAIRE
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State | TX
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Zip | 77401-2902
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Country | US
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Telephone | 832-726-1648
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Fax | 713-731-5226
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Provider Business Mailing Address
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Address Line | 424 HAHLO ST
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City | HOUSTON
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State | TX
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Zip | 77020-3022
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Country | US
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Telephone | 713-343-5511
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | U8794
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License Number State | TX
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