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General NPI Number Information
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NPI Number | 1285758417
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Entity Type | Organization
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Legal Business Name | KOFI D SEFA-BOAKYE , MD INC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 344 E H STREET SUITE 1402
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City | CHULA VISTA
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State | CA
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Zip | 91910
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Country | US
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Telephone | 619-422-2121
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Fax | 619-422-2427
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Provider Business Mailing Address
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Address Line | 10 PORT ROYAL
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City | CORONADO
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State | CA
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Zip | 92118
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Country | US
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Telephone | 619-575-7700
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | DR. KOFI DABO SEFA-BOAKYE
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Credential | M.D.
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Telephone | 619-422-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G59670
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License Number State | CA
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