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General NPI Number Information
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NPI Number | 1073925780
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Entity Type | Individual
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Provider Name | ANDREWS MENSAH
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Gender | Male
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 110 RIVER OAKS DR
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City | TARBORO
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State | NC
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Zip | 27886-4875
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Country | US
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Telephone | 252-824-8175
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Fax |
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Provider Business Mailing Address
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Address Line | 2224 VALLEY EDGE DR UNIT 107 APT/SUITE
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City | RALEIGH
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State | NC
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Zip | 27614-7363
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Country | US
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Telephone | 704-712-2855
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23421
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License Number State | NC
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