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General NPI Number Information
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NPI Number | 1497252845
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Entity Type | Individual
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Provider Name | ALPHONSE NTUBE AKUO FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 1300 MASSACHUSETTS AVE
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City | TROY
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State | NY
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Zip | 12180-1628
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Country | US
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Telephone | 518-268-5234
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Fax |
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Provider Business Mailing Address
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Address Line | 2505 DAWSON AVE
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City | SILVER SPRING
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State | MD
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Zip | 20902-2755
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Country | US
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Telephone | 202-422-8619
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN1008505
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 344446
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License Number State | NY
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