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General NPI Number Information
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NPI Number | 1992995310
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Entity Type | Individual
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Provider Name | KIKELOMO OLUFUNMILAYO OTUYELU-GARRITANO MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 65 OLD RIDGEFIELD RD
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City | WILTON
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State | CT
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Zip | 06897-3018
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Country | US
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Telephone | 914-632-8164
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Fax | 203-529-3132
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Provider Business Mailing Address
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Address Line | 65 OLD RIDGEFIELD RD
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City | WILTON
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State | CT
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Zip | 06897-3018
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Country | US
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Telephone | 914-523-3469
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Fax | 203-529-3132
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 47101
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207VB0002X
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Taxonomy Name | Obesity Medicine (Obstetrics & Gynecology) Physician
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License Number | 47101
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License Number State | CT
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