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General NPI Number Information
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NPI Number | 1609308279
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Entity Type | Individual
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Provider Name | SAMUEL KWABENA ASANTE M.D
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Gender | Male
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Dates
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Enumeration Date | 04/01/2017
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 3 SAINT FRANCIS DR STE 490
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City | GREENVILLE
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State | SC
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Zip | 29601-3973
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Country | US
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Telephone | 864-220-4263
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 631341
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City | CINCINNATI
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State | OH
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Zip | 45263-1341
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Country | US
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Telephone |
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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 | 91944
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License Number State | SC
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