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General NPI Number Information
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NPI Number | 1497078505
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Entity Type | Individual
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Provider Name | CHRISTIAN KWABENA YEBOAH PHARMACIST.
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Gender | Male
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 107 GRAY DRIVE - UNIV OF NORTH CAROLINA
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City | GREENSBORO
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State | NC
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Zip | 27412-1158
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Country | US
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Telephone | 336-334-3348
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Fax | 336-334-3539
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Provider Business Mailing Address
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Address Line | 8204 CAFFEY DR
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City | COLFAX
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State | NC
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Zip | 27235-9647
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Country | US
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Telephone | 612-599-5547
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20868
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License Number State | NC
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