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General NPI Number Information
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NPI Number | 1720966450
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Entity Type | Individual
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Provider Name | QUINTON DARREN ADUSEI-POKU
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Gender | Male
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 7175 COLUMBIA GATEWAY DR STE A
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City | COLUMBIA
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State | MD
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Zip | 21046-2536
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Country | US
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Telephone | 888-344-5977
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Fax | 888-439-3040
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Provider Business Mailing Address
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Address Line | 8919 SKYROCK CT
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City | COLUMBIA
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State | MD
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Zip | 21046-1417
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Country | US
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Telephone | 202-802-6650
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 1-07-3757
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License Number State | MD
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