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General NPI Number Information
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NPI Number | 1760496228
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Entity Type | Individual
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Provider Name | RICHARD KWASI AGBEKO KESSEY MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 400 MATTHEW ST
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City | MARIETTA
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State | OH
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Zip | 45750-1644
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Country | US
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Telephone | 740-376-1994
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Fax | 740-374-4961
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Provider Business Mailing Address
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Address Line | 7385 WALTON WAY
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-6555
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Country | US
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Telephone | 678-715-0476
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 058260
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29588
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 19741
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35087430
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License Number State | OH
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