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General NPI Number Information
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NPI Number | 1356267835
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Entity Type | Individual
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Provider Name | THERESA AMPONSAH BUABENG
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 2220 EDWARD HOLLAND DR
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City | RICHMOND
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State | VA
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Zip | 23230-2519
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Country | US
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Telephone | 804-678-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 11306 BATH CT
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-5510
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Country | US
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Telephone | 571-620-9952
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001347480
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License Number State | VA
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