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General NPI Number Information
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NPI Number | 1972756245
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Entity Type | Individual
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Provider Name | ABDULATEEF OLASUNKANMI AREGBE M.D
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Gender | Male
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 9894 E 121ST ST
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City | FISHERS
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State | IN
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Zip | 46037-4154
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Country | US
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Telephone | 317-621-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 10324 CAMBY XING
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City | FISHERS
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State | IN
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Zip | 46038-5790
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Country | US
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Telephone | 646-361-4560
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 46973
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01066511A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01066511A
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License Number State | IN
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