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General NPI Number Information
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NPI Number | 1518602507
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Entity Type | Individual
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Provider Name | KWAME SEFAH DUAH MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 2810 DACY LN
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City | KYLE
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State | TX
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Zip | 78640-6322
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Country | US
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Telephone | 512-268-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 50 N DUNLAP ST # 20
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City | MEMPHIS
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State | TN
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Zip | 38103-2800
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Country | US
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Telephone | 901-287-5319
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Fax | 901-287-5062
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | V7501
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License Number State | TX
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