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General NPI Number Information
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NPI Number | 1053844084
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Entity Type | Individual
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Provider Name | KWASI NTIRI SAFO-ASANTE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 68 E 161ST ST
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City | BRONX
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State | NY
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Zip | 10451-2207
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Country | US
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Telephone | 718-571-9139
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Fax |
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Provider Business Mailing Address
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Address Line | 2 SADORE LN APT 2J
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City | YONKERS
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State | NY
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Zip | 10710-4803
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Country | US
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Telephone | 347-908-9012
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 307239
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License Number State | NY
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