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General NPI Number Information
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NPI Number | 1477755791
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Entity Type | Organization
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Legal Business Name | CEDRIC POKU-DANKWAH,MD PC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 1160 VARNUM ST NE SUITE 217
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City | WASHINGTON
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State | DC
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Zip | 20017-2107
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Country | US
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Telephone | 202-529-6147
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 VARNUM ST NE SUITE 217
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City | WASHINGTON
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State | DC
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Zip | 20017-2107
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Country | US
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Telephone | 202-529-6147
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CEDRIC POKU-DANKWAH
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Credential | MD
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Telephone | 202-529-6147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD16481
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License Number State | DC
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