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General NPI Number Information
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NPI Number | 1447878889
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Entity Type | Individual
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Provider Name | GABRIEL ASARE SARPONG
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Gender | Male
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 302 RAILWAY AVENUE
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City | SEWARD
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State | AK
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Zip | 99664
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Country | US
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Telephone | 907-224-5257
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 E UNIVERSITY AVE APT 2
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City | URBANA
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State | IL
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Zip | 61802-6203
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Country | US
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Telephone | 870-949-3540
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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