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General NPI Number Information
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NPI Number | 1922439389
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Entity Type | Organization
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Legal Business Name | FOLAHAN AYOOLA MD PA
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Dates
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Enumeration Date | 12/10/2013
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 3321 COLORADO BLVD
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City | DENTON
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State | TX
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Zip | 76210-6817
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Country | US
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Telephone | 940-382-9429
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Fax | 940-387-2426
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Provider Business Mailing Address
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Address Line | 3321 COLORADO BLVD
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City | DENTON
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State | TX
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Zip | 76210-6817
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Country | US
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Telephone | 940-382-9429
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Fax | 940-387-2426
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FOLAHAN K AYOOLA
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Credential | MD
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Telephone | 940-382-9429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | P2826
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License Number State | TX
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