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General NPI Number Information
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NPI Number | 1104309186
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Entity Type | Individual
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Provider Name | LOUIS SAKWE AGPCNP-BC
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Gender | Male
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | MOB III 7702 E. PARHAM ROAD SUITE 318
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City | HENRICO
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State | VA
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Zip | 23294-4374
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Country | US
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Telephone | 804-499-8811
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Fax | 804-496-2026
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Provider Business Mailing Address
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Address Line | PO BOX 31494
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City | RICHMOND
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State | VA
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Zip | 23294-1494
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Country | US
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Telephone | 804-282-9133
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Fax | 804-282-9135
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 0024176623
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License Number State | VA
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