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General NPI Number Information
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NPI Number | 1649508540
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Entity Type | Individual
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Provider Name | KWASI OWUSU-NTI APRN. PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 60 WINDING VALLEY DR
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City | DELAWARE
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State | OH
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Zip | 43015-7194
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Country | US
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Telephone | 614-772-7999
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Fax |
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Provider Business Mailing Address
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Address Line | 60 WINDING VALLEY DR
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City | DELAWARE
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State | OH
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Zip | 43015-7194
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Country | US
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Telephone | 614-772-7999
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0026843
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License Number State | OH
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