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General NPI Number Information
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NPI Number | 1700381472
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Entity Type | Individual
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Provider Name | KENT TOKUNBO AJE MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 820 BESTGATE RD
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3404
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Country | US
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Telephone | 410-224-2116
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 W HARRISON ST STE 207
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City | CHICAGO
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State | IL
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Zip | 60612-3988
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Country | US
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Telephone | 312-942-5861
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D0103478
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036.160514
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License Number State | IL
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