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General NPI Number Information
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NPI Number | 1851300818
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Entity Type | Individual
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Provider Name | BOLANLE K. AKINLADE MD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 6 E PHILLIP RD
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City | VERNON HILLS
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State | IL
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Zip | 60061-1700
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Country | US
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Telephone | 847-680-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 617 AMES ST
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-2613
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Country | US
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Telephone | 847-721-9326
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 036-110791
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | A62834
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License Number State | CA
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