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General NPI Number Information
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NPI Number | 1730718214
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Entity Type | Individual
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Provider Name | OLUWATOSIN AYOTUNDE MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 3033 N 44TH ST STE 100
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City | PHOENIX
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State | AZ
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Zip | 85018-7227
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Country | US
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Telephone | 602-631-3166
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Fax |
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Provider Business Mailing Address
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Address Line | 3033 N 44TH ST STE 100
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City | PHOENIX
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State | AZ
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Zip | 85018-7227
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Country | US
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Telephone | 602-631-3166
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 76490
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 76490
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License Number State | AZ
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