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General NPI Number Information
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NPI Number | 1386124618
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Entity Type | Individual
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Provider Name | AKUA OFORIWAA AKUFFO DNP-FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 1800 HOLLISTER DR STE 107
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-5265
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Country | US
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Telephone | 847-295-0010
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Fax | 847-549-7815
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Provider Business Mailing Address
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Address Line | 1800 HOLLISTER DR STE 107
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-5265
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Country | US
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Telephone | 847-295-0010
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Fax | 847-549-7815
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209018098
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License Number State | IL
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