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General NPI Number Information
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NPI Number | 1790953081
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Entity Type | Organization
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Legal Business Name | AKINWOLE AWUJO, MD
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 1136 CLEVELAND AVE SUITE 611
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City | EAST POINT
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State | GA
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Zip | 30344-3618
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Country | US
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Telephone | 404-437-9500
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Fax | 404-659-2273
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Provider Business Mailing Address
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Address Line | 1136 CLEVELAND AVE SUITE 611
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City | EAST POINT
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State | GA
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Zip | 30344-3618
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Country | US
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Telephone | 404-437-9500
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Fax | 404-659-2273
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. AKINWOLE AKIN AWUJO
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Credential | MD
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Telephone | 404-437-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 048204
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License Number State | GA
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