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General NPI Number Information
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NPI Number | 1356015705
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Entity Type | Individual
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Provider Name | ANDREW ABOAGYE-KUMI DDS
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Gender | Male
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Dates
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Enumeration Date | 08/08/2021
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 1150 N FAYETTE ST NW APT 2414
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City | ALEXANDRIA
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State | VA
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Zip | 22314
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Country | US
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Telephone | 910-489-5944
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Fax |
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Provider Business Mailing Address
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Address Line | 4527 WEAVERHALL DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2574
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Country | US
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Telephone | 910-489-5944
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401417630
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License Number State | VA
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