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General NPI Number Information
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NPI Number | 1659073575
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Entity Type | Organization
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Legal Business Name | OSCYLLATE MEDICINE
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 2771 N GAREY AVE UNIT 175
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City | POMONA
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State | CA
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Zip | 91767-1880
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Country | US
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Telephone | 703-899-1929
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Fax |
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Provider Business Mailing Address
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Address Line | 2771 N GAREY AVE UNIT 175
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City | POMONA
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State | CA
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Zip | 91767-1880
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Country | US
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Telephone | 703-899-1929
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO/OWNER
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Name | KOFI AGYEMAN
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Credential | MD
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Telephone | 703-899-1929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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