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General NPI Number Information
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NPI Number | 1821625351
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Entity Type | Individual
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Provider Name | OLUFUNKE M ADEBAYO MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 777 HEMLOCK ST # 105
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City | MACON
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State | GA
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Zip | 31201-2102
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Country | US
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Telephone | 478-633-6116
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Fax | 478-633-2511
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Provider Business Mailing Address
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Address Line | 777 HEMLOCK ST # 105
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City | MACON
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State | GA
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Zip | 31201-2102
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Country | US
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Telephone | 478-633-6116
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Fax | 478-633-2511
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 100468
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.47043
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OH
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