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General NPI Number Information
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NPI Number | 1073745659
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Entity Type | Individual
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Provider Name | KWABENA BOAKYE MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 2940 GRAND CONCOURSE UNIT 1A-1B
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City | BRONX
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State | NY
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Zip | 10458-2611
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Country | US
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Telephone | 718-220-0900
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Fax | 718-733-6773
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Provider Business Mailing Address
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Address Line | 2940 GRAND CONCOURSE UNIT 1A-1B
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City | BRONX
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State | NY
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Zip | 10458-2611
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Country | US
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Telephone | 347-647-0725
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Fax | 718-733-6773
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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 | 26996
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 26996
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 265597
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License Number State | NY
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