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General NPI Number Information
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NPI Number | 1730218157
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Entity Type | Individual
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Provider Name | MATTHEW ADELEKE
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Gender | Male
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 209 N CENTRAL AVE
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City | COMPTON
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State | CA
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Zip | 90220-1425
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Country | US
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Telephone | 310-639-1907
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Fax | 310-999-6568
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Provider Business Mailing Address
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Address Line | 209 N CENTRAL AVENUE
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City | COMPTON
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State | CA
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Zip | 90220-1425
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Country | US
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Telephone | 310-639-1907
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Fax | 310-999-6568
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 46799
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License Number State | CA
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