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General NPI Number Information
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NPI Number | 1710043799
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Entity Type | Individual
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Provider Name | TAMIESHA FREMPONG MD
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | ONE GUSTAVE L. LEVY PLACE MOUNT SINAI HOSPITAL
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 203-645-9355
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Fax |
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Provider Business Mailing Address
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Address Line | ONE GUSTAVE L. LEVY PLACE MOUNT SINAI HOSPITAL
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 203-645-9355
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MT187040
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 253441
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2008-01119
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License Number State | NC
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