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General NPI Number Information
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NPI Number | 1871598904
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Entity Type | Individual
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Provider Name | FOLUSAKIN ODEWUMI AYOADE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 1120 NW 14TH ST FL 8
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City | MIAMI
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State | FL
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Zip | 33136-2107
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Country | US
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Telephone | 305-243-9794
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 NW 14TH ST FL 8
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City | MIAMI
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State | FL
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Zip | 33136-2107
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Country | US
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Telephone | 240-305-6546
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 207780
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License Number State | LA
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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 | 0101237502
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME133280
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License Number State | FL
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