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General NPI Number Information
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NPI Number | 1487934626
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Entity Type | Individual
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Provider Name | JOHN AGYEMANG PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 08/19/2011
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER CMR 405 BOX 7688
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City | APO
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State | AE
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Zip | 09034-7688
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Country | US
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Telephone | 496371857220
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 405 BOX 7688
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City | APO
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State | AE
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Zip | 09034
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Country | US
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Telephone | 496371867220
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Fax | 496371857220
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP444864
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03165100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18567
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PCT 9925
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License Number State | CT
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