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General NPI Number Information
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NPI Number | 1407369077
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Entity Type | Individual
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Provider Name | WINIFRED AGYEI AMPOMAAH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 11/06/2017
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Provider Practice Location Address
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Address Line | 101 E REDD ROAD
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City | EL PASO
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State | TX
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Zip | 79931
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Country | US
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Telephone | 915-206-6140
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Fax | 915-206-6141
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Provider Business Mailing Address
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Address Line | 1020 S MESA HILLS DR APT 4903
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City | EL PASO
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State | TX
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Zip | 79912-5119
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Country | US
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Telephone | 646-812-5821
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 59912
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License Number State | TX
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