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General NPI Number Information
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NPI Number | 1548127038
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Entity Type | Individual
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Provider Name | NYAMEATE ADU ASANTE
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Gender | Male
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1034 W LAKE ST
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City | CHICAGO
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State | IL
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Zip | 60607-1716
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Country | US
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Telephone | 312-705-2004
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Fax | 312-605-0065
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Provider Business Mailing Address
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Address Line | 18045 KOSTNER AVE
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-5060
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Country | US
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Telephone | 312-705-2004
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Fax | 312-601-0065
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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 | 051.307919
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License Number State | IL
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