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General NPI Number Information
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NPI Number | 1801037973
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Entity Type | Individual
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Provider Name | FEMI DAVID IWALOYE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 1671 N ZARAGOZA RD STE A
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City | EL PASO
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State | TX
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Zip | 79936-8058
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Country | US
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Telephone | 915-595-5439
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Fax | 915-591-8898
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Provider Business Mailing Address
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Address Line | 1671 N ZARAGOZA RD STE A
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City | EL PASO
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State | TX
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Zip | 79936-8058
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Country | US
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Telephone | 915-595-5439
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Fax | 915-591-8898
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MT188883
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | N6382
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License Number State | TX
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