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General NPI Number Information
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NPI Number | 1083374375
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Entity Type | Organization
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Legal Business Name | WOW HEALTH SOLUTIONS
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Dates
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Enumeration Date | 12/28/2021
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 904 LILY CREEK RD STE 201
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City | MIDDLETOWN
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State | KY
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Zip | 40243-2818
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Country | US
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Telephone | 502-357-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 904 LILY CREEK RD STE 201
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City | MIDDLETOWN
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State | KY
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Zip | 40243-2818
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Country | US
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Telephone | 502-357-3900
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Fax | 502-323-0377
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PRISCILLA N OWUSU
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Credential | MD
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Telephone | 203-805-2751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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