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General NPI Number Information
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NPI Number | 1659624302
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Entity Type | Individual
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Provider Name | FAUSTINA AMPONSAH DNP, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 02/04/2017
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Provider Practice Location Address
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Address Line | 2604 3RD AVE
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City | BRONX
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State | NY
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Zip | 10454-1199
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Country | US
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Telephone | 718-292-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 35 AUDOBON ST
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City | MEDFORD
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State | NY
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Zip | 11763-1577
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 420594
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 338554
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License Number State | NY
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