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General NPI Number Information
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NPI Number | 1568233229
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Entity Type | Individual
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Provider Name | ISAAC OSEI KUFFOUR NP
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Gender | Male
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 3947 LENNANE DR STE 110
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City | SACRAMENTO
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State | CA
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Zip | 95834-1971
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Country | US
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Telephone | 916-283-8280
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Fax | 916-283-8259
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Provider Business Mailing Address
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Address Line | 3701 IMOGINE AVE
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City | SACRAMENTO
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State | CA
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Zip | 95835-2718
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Country | US
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Telephone | 406-364-6319
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Fax | 916-244-3828
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95028664
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95028664
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License Number State | CA
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