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General NPI Number Information
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NPI Number | 1750031142
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Entity Type | Individual
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Provider Name | YETUNDE AWWAH BADMUS
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Gender | Female
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 1089 PRAY BLVD
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City | WATERVILLE
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State | OH
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Zip | 43566-8712
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Country | US
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Telephone | 419-383-8500
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Fax | 419-383-8501
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Provider Business Mailing Address
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Address Line | 3000 ARLINGTON AVE STOP 1108
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City | TOLEDO
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State | OH
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Zip | 43614-2595
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Country | US
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Telephone | 419-383-5322
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.154653
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125.080161
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License Number State | IL
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