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General NPI Number Information
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NPI Number | 1396001103
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Entity Type | Individual
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Provider Name | PEARL QUARTEY-KUMAPLEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 120 SE 4TH ST
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City | EVANSVILLE
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State | IN
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Zip | 47708-1607
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Country | US
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Telephone | 812-426-9372
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Fax | 812-450-0077
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Provider Business Mailing Address
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Address Line | 120 SE 4TH ST
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City | EVANSVILLE
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State | IN
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Zip | 47708-1607
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Country | US
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Telephone | 812-450-6815
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Fax | 812-450-6822
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 036.143097
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01084587A
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License Number State | IN
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