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General NPI Number Information
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NPI Number | 1932457371
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Entity Type | Individual
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Provider Name | MOSES ADEKUNLE ADERANTI M.D
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Gender | Male
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 1545 ATLANTIC AVE DEPARTMENT OF MEDICINE
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City | BROOKLYN
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State | NY
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Zip | 11213-1122
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Country | US
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Telephone | 516-343-7282
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 ATLANTIC AVE
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City | BROOKLYN
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State | NY
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Zip | 11213-1122
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Country | US
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Telephone | 516-343-7282
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 054394
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License Number State | CT
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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 | 2016038201
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License Number State | MO
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