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General NPI Number Information
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NPI Number | 1174208235
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Entity Type | Organization
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Legal Business Name | KENSUOE PLC
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 3900 WESTERRE PKWY
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City | RICHMOND
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State | VA
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Zip | 23233-1478
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Country | US
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Telephone | 804-273-0406
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Fax |
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Provider Business Mailing Address
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Address Line | 7744 BALLA CT
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City | RICHMOND
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State | VA
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Zip | 23228-6342
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Country | US
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Telephone | 513-348-6273
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/MEDICAL DIRECTOR
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Name | DR. MAXWELL SENU-OKE
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Credential | MD
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Telephone | 804-273-0406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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