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General NPI Number Information
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NPI Number | 1568620987
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Entity Type | Individual
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Provider Name | FREDA AMOAA BOAKYE
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Gender | Female
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 321 RICHLAND WEST CIR
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City | WACO
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State | TX
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Zip | 76712-7919
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Country | US
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Telephone | 513-282-9239
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Fax |
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Provider Business Mailing Address
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Address Line | 11112 HAVITURE WAY UNIT A
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City | WACO
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State | TX
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Zip | 76708-7160
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Country | US
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Telephone | 513-282-9239
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.952084
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1228529
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License Number State | TX
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