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General NPI Number Information
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NPI Number | 1952073710
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Entity Type | Individual
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Provider Name | FIYINFOLUWA AYODEJI BANJO
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Gender | Male
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2715 KOLO PL APT 201
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City | HONOLULU
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State | HI
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Zip | 96826-1754
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Country | US
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Telephone | 334-524-8668
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 NUECES ST UNIT 202
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City | AUSTIN
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State | TX
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Zip | 78701-2199
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Country | US
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Telephone | 334-524-8668
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 206079
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License Number State | TX
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