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General NPI Number Information
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NPI Number | 1689874067
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Entity Type | Individual
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Provider Name | OWUSU ANANEH FIREMPONG M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 11180 WARNER AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7501
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Country | US
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Telephone | 714-434-9559
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Fax | 714-434-9779
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Provider Business Mailing Address
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Address Line | 311 N ROBERTSON BLVD # 373
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1705
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Country | US
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Telephone | 714-434-9559
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Fax | 714-434-9779
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G42397
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License Number State | CA
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