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General NPI Number Information
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NPI Number | 1174776371
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Entity Type | Individual
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Provider Name | NAANA BOAHEMAA BADU
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Gender | Female
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Dates
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Enumeration Date | 10/31/2008
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 255 BRIDLE PASS WAY
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City | MONROE
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State | OH
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Zip | 45050
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Country | US
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Telephone | 513-580-9546
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Fax | 513-580-9546
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Provider Business Mailing Address
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Address Line | 255 BRIDLE PASS WAY
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City | MONROE
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State | OH
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Zip | 45050-1486
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Country | US
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Telephone | 513-580-9546
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Fax | 513-580-9546
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN126198
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License Number State | OH
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