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General NPI Number Information
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NPI Number | 1992847644
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Entity Type | Individual
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Provider Name | ABISOLA O. AFOLALU MD
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 291 S LAMBERT RD STE 2
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City | ORANGE
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State | CT
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Zip | 06477-3559
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Country | US
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Telephone | 475-308-1909
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Fax | 203-306-3144
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Provider Business Mailing Address
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Address Line | 291 S LAMBERT RD STE 2
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City | ORANGE
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State | CT
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Zip | 06477-3559
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Country | US
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Telephone | 475-308-1909
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Fax | 203-306-3144
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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 | 044951
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License Number State | CT
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