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General NPI Number Information
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NPI Number | 1669627881
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Entity Type | Individual
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Provider Name | KWAME MARCUS ASOMANI DDS
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Gender | Male
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 3401 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20010
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Country | US
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Telephone | 202-829-5437
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Fax | 202-829-9255
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Provider Business Mailing Address
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Address Line | 2221 E BIJOU ST STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-8009
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Country | US
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Telephone | 719-576-1850
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Fax | 719-955-3470
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14320
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN1000769
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License Number State | DC
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