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General NPI Number Information
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NPI Number | 1811718646
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Entity Type | Individual
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Provider Name | YAW OWUSU KANIN
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Gender | Male
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 197 BOSTON TPKE
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City | SHREWSBURY
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State | MA
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Zip | 01545-2545
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Country | US
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Telephone | 508-752-0439
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Fax |
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Provider Business Mailing Address
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Address Line | 169 MOWER ST
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City | WORCESTER
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State | MA
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Zip | 01602-1130
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Country | US
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Telephone | 617-952-1717
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH1001012
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License Number State | MA
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