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General NPI Number Information
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NPI Number | 1134911324
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Entity Type | Organization
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Legal Business Name | KOROMA ANESTHESIA & NURSING SERVICES, LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1120 N CHARLES ST STE 400
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City | BALTIMORE
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State | MD
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Zip | 21201-5594
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Country | US
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Telephone | 442-271-9907
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Fax |
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Provider Business Mailing Address
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Address Line | 111 E MARKET ST STE 201
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City | YORK
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State | PA
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Zip | 17401-1222
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Country | US
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Telephone | 443-271-9907
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ABU KOROMA
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Credential | PMHNP
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Telephone | 443-271-9907
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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 |
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License Number State |
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