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General NPI Number Information
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NPI Number | 1790403525
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Entity Type | Organization
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Legal Business Name | AYA HEALTH INC
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Dates
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Enumeration Date | 08/18/2022
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 364 MAPLE AVE
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2212
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Country | US
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Telephone | 267-281-3925
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 164
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City | CREAMERY
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State | PA
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Zip | 19430-0164
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ADJOA AMOAH
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Credential | CRNP
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Telephone | 267-281-3925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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