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General NPI Number Information
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NPI Number | 1881708691
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Entity Type | Individual
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Provider Name | BETTY ORIEJI AGBEDE MD MPH
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 5554 CLARCONA OCOEE RD
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City | ORLANDO
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State | FL
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Zip | 32810
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Country | US
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Telephone | 407-292-0292
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Fax | 407-292-5175
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Provider Business Mailing Address
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Address Line | PO BOX 616788
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City | ORLANDO
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State | FL
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Zip | 32861-6788
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Country | US
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Telephone | 407-244-7701
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Fax | 407-770-0594
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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 | MD040841E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2010-00664
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME111451
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License Number State | FL
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