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General NPI Number Information
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NPI Number | 1306518139
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Entity Type | Individual
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Provider Name | FELIX ASIEDU KORANTENG PMHNP
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Gender | Male
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 13236 N 7TH ST STE 4
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City | PHOENIX
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State | AZ
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Zip | 85022-5343
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Country | US
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Telephone | 602-782-6988
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Fax | 602-782-6989
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Provider Business Mailing Address
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Address Line | 13236 N 7TH ST STE 4 PMB 366
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City | PHOENIX
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State | AZ
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Zip | 85022-5343
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Country | US
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Telephone | 602-782-6988
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Fax | 602-782-6989
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 222736
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 222736
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License Number State | AZ
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