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General NPI Number Information
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NPI Number | 1124972716
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Entity Type | Individual
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Provider Name | YAW TAWIAH
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Gender | Male
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 2815 OLD LEE HWY
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City | FAIRFAX
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State | VA
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Zip | 22031-4303
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Country | US
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Telephone | 571-774-0749
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Fax |
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Provider Business Mailing Address
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Address Line | 2815 OLD LEE HWY
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City | FAIRFAX
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State | VA
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Zip | 22031-4303
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Country | US
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Telephone | 571-774-0749
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 2551264
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License Number State | VA
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