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General NPI Number Information
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NPI Number | 1053593566
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Entity Type | Individual
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Provider Name | ANGELA O KYEI M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 3461 WARRENSVILLE CENTER RD STE 100
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-5227
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Country | US
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Telephone | 216-417-3250
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Fax | 216-417-3251
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Provider Business Mailing Address
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Address Line | 2323 LEE ROAD COSMOPOLITAN DERMATOLOGY
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118
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Country | US
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Telephone | 216-417-3250
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Fax | 216-417-3251
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 35.097340
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License Number State | OH
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