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General NPI Number Information
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NPI Number | 1245114677
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Entity Type | Individual
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Provider Name | KEZIAH MICHELLE DANQUAH REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 570 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6512
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Country | US
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Telephone | 212-263-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 13022 228TH ST
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City | LAURELTON
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State | NY
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Zip | 11413-1741
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Country | US
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Telephone | 347-435-8964
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 821509
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License Number State | NY
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