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General NPI Number Information
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NPI Number | 1013056704
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Entity Type | Individual
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Provider Name | FRANCIS KOBINA AGYAPONG NP
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 12/20/2014
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Provider Practice Location Address
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Address Line | 3851 ROGER BROOKE DR BROOKE ARMY MEDICAL CENTER, MCHE-QD(CREDS)
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-4501
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Country | US
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Telephone | 719-466-0576
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Fax |
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Provider Business Mailing Address
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Address Line | 3851 ROGER BROOKE DR BROOKE ARMY MEDICAL CENTER, MCHE-QD(CREDS)
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-4501
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Country | US
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Telephone | 719-466-0576
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 713162
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP127093
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License Number State | TX
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