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NPI 1609025527

NPI 1609025527 : FRANK BOATENG M.D : NEWARK, OH

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General NPI Number Information
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    NPI Number           |    1609025527
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    Entity Type          |    Individual 
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    Provider Name        |    FRANK BOATENG M.D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/16/2008
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    Last Update Date     |    01/09/2025
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Provider Practice Location Address
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    Address Line         |    1406 DICKERSON ST 
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    City                 |    NEWARK
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    State                |    OH
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    Zip                  |    43055-1844
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    Country              |    US
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    Telephone            |    740-915-7475
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1406 DICKERSON ST 
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    City                 |    NEWARK
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    State                |    OH
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    Zip                  |    43055-1844
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    Country              |    US
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    Telephone            |    917-826-2914
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    35.092242
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    01070752A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    01070752A
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    License Number State |    IN
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