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1386125482 NPI number — OPHELIA OPOKU-ACHEAMPONG

NPI Number: 1386125482
Health Care Provider/Practitioner: OPHELIA OPOKU-ACHEAMPONG

Information about “1386125482” NPI (OPHELIA OPOKU-ACHEAMPONG) exists in 1386125482 in HTML format HTML  |  1386125482 in plain Text format TXT  |  1386125482 in PDF (Portable Document Format) PDF  |  1386125482 in an XML format XML  formats.

NPI Number : 1386125482 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386125482",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OPOKU-ACHEAMPONG",
    "FirstName": "OPHELIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ADDAI BOATENG",
    "OtherFirstName": "OPHELIA",
    "OtherMiddleName": "AMA ASANTEWAA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "40 HIGH ST # 913",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORGANTOWN",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "26505-0172",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-746-1830",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "112 WEDGEWOOD DR APT 9",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORGANTOWN",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "26505-2480",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-746-1830",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/27/2018",
    "LastUpdateDate": "04/02/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "DP00944888",
        "LicenseNumberStateCode": "WV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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