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General NPI Number Information
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NPI Number | 1417136250
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Entity Type | Organization
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Legal Business Name | KWAME G BUAHIN, MD, PHD, PC
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 1190 NW 95TH ST SUITE 403
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City | MIAMI
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State | FL
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Zip | 33150-2063
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Country | US
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Telephone | 305-693-8804
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Fax |
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Provider Business Mailing Address
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Address Line | 1190 NW 95TH ST SUITE 403
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City | MIAMI
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State | FL
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Zip | 33150-2063
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Country | US
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Telephone | 305-693-8804
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KWAME G BUAHIN
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Credential | MD, PHD
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Telephone | 305-693-8804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME80755
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License Number State | FL
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