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NPI 1477098226

NPI 1477098226 : KINGSLEY OSEI ASIEDU : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1477098226
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    Entity Type          |    Individual 
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    Provider Name        |    KINGSLEY OSEI ASIEDU
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/04/2017
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    Last Update Date     |    07/04/2025
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Provider Practice Location Address
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    Address Line         |    4940 EASTERN AVE 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21224-2735
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    Country              |    US
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    Telephone            |    410-550-0526
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 MANNING DR 
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    City                 |    CHAPEL HILL
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    State                |    NC
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    Zip                  |    27514-4220
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    Country              |    US
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    Telephone            |    188-984-1884
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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        |    2085N0700X
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    Taxonomy Name        |    Neuroradiology Physician
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    License Number       |    2023-01088
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    License Number State |    NC
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Taxonomy #2
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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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