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General NPI Number Information
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NPI Number | 1184103970
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Entity Type | Individual
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Provider Name | GIFTY GYEMFA AMPADU PHD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 1124 ROUTE 94 STE 201
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City | NEW WINDSOR
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State | NY
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Zip | 12553-7258
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Country | US
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Telephone | 845-787-1932
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Fax |
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Provider Business Mailing Address
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Address Line | 23 MOCKINGBIRD LN
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-5630
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Country | US
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Telephone | 646-831-4801
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 022763
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 022763
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License Number State | NY
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