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General NPI Number Information
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NPI Number | 1073157491
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Entity Type | Individual
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Provider Name | KWASI ADUSEI
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Gender | Male
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Dates
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Enumeration Date | 10/29/2019
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 3706 HILLVIEW ST
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City | OAKLAND
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State | CA
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Zip | 94602-3333
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Country | US
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Telephone | 631-524-1522
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 21ST ST
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone |
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Fax | 631-986-4060
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95355854
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 704361
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402811-01
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95028965
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License Number State | CA
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