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General NPI Number Information
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NPI Number | 1750176640
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Entity Type | Individual
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Provider Name | EDWARD OHENE KYE
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Gender | Male
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 100 GRAND ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-2016
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Country | US
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Telephone | 860-995-1347
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Fax |
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Provider Business Mailing Address
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Address Line | 61 RACHEL RD APT E
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City | MANCHESTER
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State | CT
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Zip | 06042-2140
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Country | US
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Telephone | 860-995-1347
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 178909
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License Number State | CT
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