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General NPI Number Information
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NPI Number | 1952715294
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Entity Type | Individual
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Provider Name | ADEYINKA ADEBAYO
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Gender | Male
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Dates
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Enumeration Date | 06/15/2014
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 3651 E BASELINE RD STE 230
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City | GILBERT
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State | AZ
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Zip | 85234-5450
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Country | US
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Telephone | 602-838-4049
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Fax | 310-496-0818
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Provider Business Mailing Address
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Address Line | 704 WOODEWIND DR
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City | NAPERVILLE
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State | IL
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Zip | 60563-3972
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Country | US
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Telephone | 630-544-4488
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209018630
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 6669
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP139995
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License Number State | TX
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