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General NPI Number Information
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NPI Number | 1568631000
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Entity Type | Individual
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Provider Name | YAW AMPADU-KYERE BACHELORS OF SCIENCE
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Gender | Male
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 03/01/2008
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Provider Practice Location Address
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Address Line | 16 GUION PL MEDICAL STAFF OFFICE, SOUND SHORE MEDICAL CENTER
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5503
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Country | US
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Telephone | 914-365-3687
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Fax |
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Provider Business Mailing Address
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Address Line | 196 TUXEDO PKWY
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City | NEWARK
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State | NJ
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Zip | 07106-3305
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Country | US
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Telephone | 973-760-3432
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 012032-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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