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General NPI Number Information
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NPI Number | 1083878938
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Entity Type | Individual
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Provider Name | GEORGE OWUSU SAFO RN
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Gender | Male
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 975 106TH LN NW APT 64
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City | COON RAPIDS
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State | MN
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Zip | 55433-4319
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Country | US
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Telephone | 612-210-1825
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Fax |
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Provider Business Mailing Address
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Address Line | 975 106TH LN NW APT 64
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City | COON RAPIDS
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State | MN
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Zip | 55433-4319
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Country | US
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Telephone | 612-210-1825
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | R-1566161
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License Number State | MN
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