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General NPI Number Information
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NPI Number | 1528911583
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Entity Type | Individual
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Provider Name | KIMBERLY OWUSU YEBOAH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 231 N BREIEL BLVD
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City | MIDDLETOWN
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State | OH
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Zip | 45042-3807
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Country | US
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Telephone | 513-318-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 4765 SHAUNEE CREEK DR
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City | DAYTON
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State | OH
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Zip | 45415-3355
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Country | US
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Telephone |
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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 | LE-00061877
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License Number State | OH
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