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General NPI Number Information
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NPI Number | 1760109342
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Entity Type | Individual
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Provider Name | ABIMBOLA AKINTERINWA
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Gender | Female
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 5282 MEDICAL DR STE 602
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6114
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Country | US
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Telephone | 312-978-2061
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Fax |
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Provider Business Mailing Address
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Address Line | 5007 MAUMEE RIVER DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-7182
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041517220
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1112710
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License Number State | TX
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