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General NPI Number Information
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NPI Number | 1053807487
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Entity Type | Organization
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Legal Business Name | TETTEH PEDIATRIC HEALTH, INC.
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 7248 S LAND PARK DR STE 118
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City | SACRAMENTO
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State | CA
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Zip | 95831-3661
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Country | US
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Telephone | 916-538-6118
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Fax | 916-706-1657
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Provider Business Mailing Address
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Address Line | 7248 S LAND PARK DR STE 118
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City | SACRAMENTO
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State | CA
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Zip | 95831-3661
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Country | US
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Telephone | 916-538-6118
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Fax | 916-706-1657
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | BEATRICE TETTEH
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Credential | MD, MPH
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Telephone | 815-272-4166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | CA
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