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General NPI Number Information
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NPI Number | 1407694078
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Entity Type | Individual
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Provider Name | DEBORAH ADWOA ANTWIH
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Gender | Female
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Dates
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Enumeration Date | 07/18/2024
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 575 N RIVER ST
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City | WILKES BARRE
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State | PA
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Zip | 18702-2634
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Country | US
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Telephone | 570-829-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 510 DELAWARE AVE
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City | WEST PITTSTON
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State | PA
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Zip | 18643-2108
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | R215389
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License Number State | MD
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