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General NPI Number Information
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NPI Number | 1851004055
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Entity Type | Individual
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Provider Name | AYODELE MARUF JINADU APRN
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Gender | Male
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1836 WOODWARD ST
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City | ORLANDO
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State | FL
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Zip | 32803-4256
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Country | US
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Telephone | 407-894-6980
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Fax | 407-894-6982
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Provider Business Mailing Address
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Address Line | 2211 PINYON RD
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City | APOPKA
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State | FL
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Zip | 32703-8459
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Country | US
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Telephone | 407-285-0684
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN11023755
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License Number State | FL
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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 | APRN11023755
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License Number State | FL
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