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General NPI Number Information
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NPI Number | 1962498964
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Entity Type | Individual
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Provider Name | VICTOR A. FOLARIN MD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2005
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 2841 N PATTERSON ST NF/SG VAHS VALDOSTA OUTPATIENT CLINIC
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City | VALDOSTA
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State | GA
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Zip | 31602-1890
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Country | US
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Telephone | 229-293-0132
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Fax | 229-293-0162
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Provider Business Mailing Address
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Address Line | 2841 N PATTERSON ST NF/SG VAHS VALDOSTA OUTPATIENT CLINIC
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City | VALDOSTA
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State | GA
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Zip | 31602-1890
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Country | US
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Telephone | 229-293-0132
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Fax | 229-293-0162
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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 | 25135
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 25135
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 25135
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License Number State | KY
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