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General NPI Number Information
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NPI Number | 1023703345
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Entity Type | Individual
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Provider Name | GAIL AMA BOACHIE
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Gender | Female
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 307 N UNIVERSITY BLVD # MH1300
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City | MOBILE
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State | AL
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Zip | 36688-3053
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Country | US
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Telephone | 860-503-9405
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Fax |
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Provider Business Mailing Address
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Address Line | 11 TERRACE DR
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City | TORRINGTON
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State | CT
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Zip | 06790-3402
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Country | US
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Telephone | 860-503-9405
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 2340048
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2340048
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License Number State | MA
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