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General NPI Number Information
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NPI Number | 1720548696
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Entity Type | Individual
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Provider Name | AYOBAMI FATUNMBI
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 594 S COLUMBIA AVE
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City | RINCON
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State | GA
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Zip | 31326-9094
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Country | US
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Telephone | 912-826-4057
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 OGEECHEE RD UNIT 2302
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City | SAVANNAH
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State | GA
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Zip | 31405-9616
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Country | US
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Telephone | 716-548-1042
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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