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General NPI Number Information
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NPI Number | 1699654111
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Entity Type | Organization
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Legal Business Name | SEYI ADEYINKA MD PSYCHIATRIST, PLLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1301 FARMINGTON AVE
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City | BRISTOL
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State | CT
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Zip | 06010-4776
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Country | US
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Telephone | 860-530-5362
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Fax |
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Provider Business Mailing Address
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Address Line | 268 POST RD STE 200 PMB 518457
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City | FAIRFIELD
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State | CT
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Zip | 06824
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLUWASEYI ADEYINKA
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Credential | MD, MPH
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Telephone | 860-530-5362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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