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General NPI Number Information
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NPI Number | 1063848133
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Entity Type | Individual
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Provider Name | EMMANUEL KWABENA ASANTE JR.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 21730 S VERMONT AVE SUITE 210
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City | TORRANCE
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State | CA
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Zip | 90502-2196
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Country | US
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Telephone | 310-222-1613
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Fax |
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Provider Business Mailing Address
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Address Line | 14030 LEMOLI AVE APARTMENT 19
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City | HAWTHORNE
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State | CA
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Zip | 90250-8248
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Country | US
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Telephone | 310-947-5214
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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