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General NPI Number Information
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NPI Number | 1992669709
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Entity Type | Organization
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Legal Business Name | ADEBOWALE A ADEDIPE MD INC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 11201 SHAKER BLVD STE 338
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City | CLEVELAND
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State | OH
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Zip | 44104-3871
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Country | US
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Telephone | 216-368-7910
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Fax | 321-636-8791
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Provider Business Mailing Address
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Address Line | 11201 SHAKER BLVD STE 338
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City | CLEVELAND
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State | OH
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Zip | 44104-3871
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Country | US
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Telephone | 216-368-7910
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Fax | 216-368-7915
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ADEBOWALE ADEJAYI ADEDIPE
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Credential | MD
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Telephone | 216-392-8501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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