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General NPI Number Information
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NPI Number | 1326972365
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Entity Type | Individual
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Provider Name | EMMANUEL O BEMPAH
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Gender | Male
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 7105 NW 70TH AVE
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City | JOHNSTON
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State | IA
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Zip | 50131-1824
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Country | US
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Telephone | 515-252-4910
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Fax |
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Provider Business Mailing Address
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Address Line | 185 S 87TH ST
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8320
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Country | US
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Telephone |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | A189411
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License Number State | IA
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