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General NPI Number Information
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NPI Number | 1467375782
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Entity Type | Individual
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Provider Name | AUGUSTINE YEBOAH RRT
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Gender | Male
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 1245 US HIGHWAY 1 S
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City | EDISON
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State | NJ
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Zip | 08837-3113
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Country | US
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Telephone | 908-267-4143
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 US HIGHWAY 1 S
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City | EDISON
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State | NJ
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Zip | 08837-3113
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Country | US
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Telephone | 908-267-4143
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 43ZA00697700
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License Number State | NJ
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