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General NPI Number Information
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NPI Number | 1598362709
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Entity Type | Individual
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Provider Name | AFUA KONADU TAKYI MD, MBS, MPH, MSCR
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Gender | Female
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Dates
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Enumeration Date | 10/01/2020
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 4094 4TH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-2143
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Country | US
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Telephone | 619-515-2545
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Fax |
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Provider Business Mailing Address
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Address Line | 823 GATEWAY CENTER WAY
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City | SAN DIEGO
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State | CA
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Zip | 92102-4541
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Country | US
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Telephone | 619-515-2300
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 322046
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 1020174
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | A167068
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 1020174
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 2023-00717
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | A167068
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License Number State | CA
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