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General NPI Number Information
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NPI Number | 1508401449
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Entity Type | Individual
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Provider Name | ANDREA AKYEAMPONG
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Gender | Female
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 120 CAMPUS DR STE 211
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City | MARTINSBURG
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State | WV
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Zip | 25404-7561
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Country | US
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Telephone | 681-247-1260
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Fax | 681-247-1261
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Provider Business Mailing Address
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Address Line | 220 CAMPUS BLVD STE 320
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City | WINCHESTER
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State | VA
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Zip | 22601-2889
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Country | US
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Telephone | 540-536-5100
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Fax | 540-536-0235
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34292
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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