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General NPI Number Information
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NPI Number | 1871446286
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Entity Type | Organization
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Legal Business Name | ANEW REGENERATIVE MEDICINE SPECIALISTS, PLLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 28544 ORCHARD LAKE RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2909
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Country | US
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Telephone | 248-797-2795
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Fax |
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Provider Business Mailing Address
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Address Line | 28544 ORCHARD LAKE RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/MEDICAL DIRECTOR
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Name | DR. ABIOLA DIANNE ADISA-OBAYAN
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Credential | MD
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Telephone | 248-797-2795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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