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General NPI Number Information
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NPI Number | 1134909450
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Entity Type | Individual
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Provider Name | FIDELIA ADOMAKO ASANTE-ANSONG NP
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Gender | Female
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 27922 COLONIAL POINT DR
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City | KATY
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State | TX
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Zip | 77494-3712
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Country | US
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Telephone | 703-732-1182
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Fax |
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Provider Business Mailing Address
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Address Line | 27922 COLONIAL POINT DR
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City | KATY
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State | TX
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Zip | 77494-3712
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Country | US
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Telephone | 703-732-1182
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10020621
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95028512
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 328453
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1138239
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0010622
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License Number State | DE
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 12168
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License Number State | MN
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 120916
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License Number State | WV
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024189063
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License Number State | VA
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