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General NPI Number Information
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NPI Number | 1407842370
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Entity Type | Individual
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Provider Name | NAA ADAAWAH WILSON-KUMI CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 56 FRANKLIN ST STE 1
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City | WATERBURY
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State | CT
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Zip | 06706-1281
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Country | US
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Telephone | 203-709-6185
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Fax |
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Provider Business Mailing Address
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Address Line | 112 PLEASANT DR
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City | SOUTHBURY
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State | CT
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Zip | 06488-3231
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Country | US
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Telephone | 240-899-1993
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN-197396
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN966002
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 109131
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 005239
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | SRA25033
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License Number State | CO
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