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General NPI Number Information
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NPI Number | 1811482508
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Entity Type | Individual
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Provider Name | MR. OSCAR-JUDAH O ANKRAH
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Gender | Male
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 225 N MAIN ST SUITE 203,
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City | BRISTOL, CT 06010
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State | CT
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Zip | 06010
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Country | US
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Telephone | 860-506-7905
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Fax |
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Provider Business Mailing Address
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Address Line | 200 ANDOVER RD
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City | EAST HARTFORD
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State | CT
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Zip | 06108-1410
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Country | US
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Telephone | 860-913-3266
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW007219
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License Number State | CT
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