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General NPI Number Information
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NPI Number | 1740107416
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Entity Type | Individual
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Provider Name | ROMEO YEBOAH BOAHENG MD
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Gender | Male
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 1120 15TH ST # BA3415
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City | AUGUSTA
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State | GA
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Zip | 30912-0006
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Country | US
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Telephone | 762-375-2822
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Fax |
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Provider Business Mailing Address
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Address Line | 1399 WALTON WAY APT 204
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City | AUGUSTA
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State | GA
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Zip | 30901-2683
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Country | US
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Telephone | 706-351-8383
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 113870
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License Number State | GA
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