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General NPI Number Information
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NPI Number | 1235971680
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Entity Type | Individual
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Provider Name | EFUA SERWAA POKU RN
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Gender | Female
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 177 FORT WASHINGTON AVE APT 5JN
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City | NEW YORK
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State | NY
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Zip | 10032-3733
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Country | US
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Telephone | 212-305-2332
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Fax |
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Provider Business Mailing Address
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Address Line | 60 MORROW AVE APT 5JN
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City | SCARSDALE
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State | NY
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Zip | 10583-8142
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Country | US
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Telephone | 347-269-9194
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | F432900
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 757333
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License Number State | NY
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