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General NPI Number Information
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NPI Number | 1841447992
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Entity Type | Individual
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Provider Name | OLUMAYOWA ADEFUNKE ADERINTO M.D
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Gender | Female
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 1401 ST. JOSEPH PARKWAY
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City | HOUSTON
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State | TX
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Zip | 77002-8301
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Country | US
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Telephone | 713-756-8537
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Fax | 713-756-8538
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Provider Business Mailing Address
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Address Line | 4502 RIVERSTONE BLVD STE 1403
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City | MISSOURI CITY
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State | TX
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Zip | 77459-5210
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Country | US
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Telephone | 713-239-4249
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Fax | 281-978-4341
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 46518
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N8749
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License Number State | TX
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