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General NPI Number Information
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NPI Number | 1144182627
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Entity Type | Individual
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Provider Name | PRISCILLA KYEI-SAMPONG
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 692 BREVARD CIR
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City | PICKERINGTON
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State | OH
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Zip | 43147-7875
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Country | US
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Telephone | 614-962-4746
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Fax | 614-962-4746
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Provider Business Mailing Address
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Address Line | 692 BREVARD CIR
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City | PICKERINGTON
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State | OH
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Zip | 43147-7875
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Country | US
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Telephone | 614-962-4746
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Fax | 614-962-4746
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 495936
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WX0800X
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Taxonomy Name | Orthopedic Registered Nurse
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License Number | 495936
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 495936
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 495936
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License Number State | OH
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