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General NPI Number Information
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NPI Number | 1386359891
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Entity Type | Individual
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Provider Name | ERIC TWUMASI
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Gender | Male
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 4445 CORPORATION LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3262
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Country | US
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Telephone | 571-478-3130
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Fax |
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Provider Business Mailing Address
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Address Line | 3351 CORRIDOR MARKETPLACE STE 400-21
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City | LAUREL
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State | MD
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Zip | 20724-2379
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Country | US
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Telephone | 240-510-6832
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 1382
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License Number State | VA
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