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General NPI Number Information
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NPI Number | 1871624114
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Entity Type | Organization
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Legal Business Name | AYOTUNDE ENTERPRISES INCORPORATED
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 7459 HIGH LAKE DR
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City | ORLANDO
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State | FL
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Zip | 32818-8722
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Country | US
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Telephone | 407-405-0735
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Fax | 407-298-3041
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Provider Business Mailing Address
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Address Line | 7459 HIGH LAKE DR
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City | ORLANDO
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State | FL
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Zip | 32818-8722
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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 | PRESIDENT
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Name | PROF. MICHAEL AYOTUNDE
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Credential | CPH
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Telephone | 407-405-0735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 685611096
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License Number State | FL
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