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General NPI Number Information
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NPI Number | 1427282631
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Entity Type | Individual
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Provider Name | OLIVIA OWUSU-BOAHEN MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 100 E CARROLL ST
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City | SALISBURY
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State | MD
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Zip | 21801-5422
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Country | US
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Telephone | 201-281-2051
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Fax |
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Provider Business Mailing Address
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Address Line | 34301 GRAHAM CIR
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City | MILLSBORO
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State | DE
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Zip | 19966-3195
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Country | US
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Telephone | 201-281-2051
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA08613500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C1-0027947
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | MD453358
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 25MA08613500
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0094133
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License Number State | MD
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