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General NPI Number Information
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NPI Number | 1598923773
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Entity Type | Individual
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Provider Name | LOUIS JOHN NKRUMAH M.D./PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2008
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 4 OHIO DR STE 200
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1111
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Country | US
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Telephone | 631-525-1420
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Fax | 631-610-4420
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | GLEN HEAD
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State | NY
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Zip | 11545-0429
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Country | US
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Telephone | 646-400-1349
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | MD60730005
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 302720
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License Number State | NY
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