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General NPI Number Information
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NPI Number | 1346686482
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Entity Type | Organization
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Legal Business Name | DR ANTWI EYECARE LLC
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 262 PARK RD
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City | WEST HARTFORD
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State | CT
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Zip | 06119-2018
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Country | US
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Telephone | 860-206-8818
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Fax | 860-206-4876
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Provider Business Mailing Address
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Address Line | 262 PARK RD
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City | WEST HARTFORD
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State | CT
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Zip | 06119-2018
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Country | US
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Telephone | 860-206-8818
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Fax | 860-206-4876
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Authorized Official
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Title or Position | AO
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Name | AFUA WIREKOA ANTWI
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Credential | OD
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Telephone | 860-206-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 002871
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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