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General NPI Number Information
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NPI Number | 1336275130
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Entity Type | Individual
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Provider Name | KWAME SARPONG P.A,
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8200 WEDNESBURY LN SUITE 360
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City | HOUSTON
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State | TX
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Zip | 77074-2925
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Country | US
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Telephone | 713-484-6200
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Fax | 713-773-0905
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Provider Business Mailing Address
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Address Line | 3110 HOLLY OAK CT
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City | HOUSTON
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State | TX
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Zip | 77068-3116
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Country | US
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Telephone | 281-631-9433
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA03291
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License Number State | TX
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