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General NPI Number Information
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NPI Number | 1437468600
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Entity Type | Individual
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Provider Name | ALLEN KOFI APPIAH-BOATENG
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Gender | Male
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 3701 QUICK HILL ROAD APT 9307
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City | AUSTIN
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State | TX
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Zip | 78728-1285
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Country | US
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Telephone | 512-547-6193
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Fax | 866-496-5011
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Provider Business Mailing Address
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Address Line | PO BOX 5823
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City | ROUND ROCK
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State | TX
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Zip | 78683-5823
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Country | US
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Telephone | 512-547-6193
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Fax | 866-496-5011
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 75908
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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