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General NPI Number Information
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NPI Number | 1639467939
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Entity Type | Organization
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Legal Business Name | NYAME NTI NATURAL HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 07/20/2011
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Last Update Date | 08/01/2017
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Provider Practice Location Address
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Address Line | 3424 N ST SE
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City | WASHINGTON
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State | DC
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Zip | 20019-2958
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Country | US
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Telephone | 202-491-5687
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Fax | 202-478-1677
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Provider Business Mailing Address
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Address Line | 3424 N ST SE
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City | WASHINGTON
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State | DC
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Zip | 20019-2958
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Country | US
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Telephone | 202-491-5687
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Fax | 202-478-1677
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. AMA ASANTEWAA TYUS
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Credential | M.D.
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Telephone | 202-491-5687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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